Clinical Comparative Study On Electroacupuncture And Acupoint Catgut Embedding In Treating Abdominal Obesity With Insulin Resistance

Objective:Under the same conditions of exercise and diet intervention and point selection,electroacupuncture or acupoint embedding is used to treat abdominal obesity patients with insulin resistance.Observe its clinical efficacy,compare the changes of patient’s body mass index,fasting blood glucose(FBG),fasting insulin(FINS),and insulin resistance(HOMR-IR),and explore the superiority of the two treatment methods.Methods:This experiment recruited patients from July 2020 to January 2021 to the outpatient department of the Acupuncture Department of Nanjing Hospital of Traditional Chinese Medicine.A total of 71 patients with abdominal obesity and insulin resistance were divided into electroacupuncture group and thread-embedding group according to a random number table..During the experiment,2 cases were eliminated in the electroacupuncture group and 1 case in the embedding group fell off.Finally,68 patients were included in the observation and statistical analysis,with 34 cases in each group.The acupuncture points of the electroacupuncture group are:abdominal acupoints:Tianshu(bilateral),Daheng(bilateral),with pulse(bilateral),Zhongwan,moisture,sea of qi,Guanyuan;back acupoint:Pishu(bilateral)),Weishu(bilateral);lower limb acupoints:Zusanli(bilateral),Fenglong(bilateral).Electroacupuncture stimulates bilateral pulse and Tianshu,with needles in/time,three times a week,1 course of treatment 12 times,a total of 2 courses of treatment.The acupoint selection of the embedding group is the same as that of the electroacupuncture group.Once every 2 weeks,1 course of treatment 2 times,a total of 2 courses.The diet and exercise intervention of the patients in the electroacupuncture group and the embedding group were the same.Observe and record related obesity indicators,blood indicators,and total effective rate before treatment,after 1 course of treatment,and after 2 courses of treatment.The SPSS26.0 statistical software was used for intra-group and inter-group comparison and analysis.Results:1.After treatment(1 course,2 course),the BW,BMI,WC,HC,WHR,FINS,HOMR-IR,F%of the electroacupuncture group and the embedding group were significantly lower than before(P<0.05 or P<0.01).2.After treatment(1 course,2 courses),there is no significant difference in body weight index between the two groups(P>0.05),but from the analysis of the weight change graph,the electroacupuncture group is more effective than the embedding group in the first course of treatment Fast,and the second course of treatment in the embedding group is better than the electroacupuncture group.3.In terms of the curative effect of hip circumference,waist circumference and waist-hip ratio,the curative effect of the electroacupuncture group is significantly better than that of the embedding group(P<0.05),but as time goes by,the curative effect speed of the electroacupuncture group gradually changes in the curative effect of waist and hip circumference.However,the rate of curative effect in the embedding group is relatively stable.4.After the first course of treatment,the change of body fat percentage(F%)in the electroacupuncture group was statistically significant than that of the embedding group(P<0.05),but there was no statistically significant difference with the embedding group after the second course of treatment Academic difference(P>0.05).It can be seen that the effect of the electroacupuncture group is faster than the embedding group in terms of body fat rate,but in the long term,the embedding group is better than the electroacupuncture group.5.The other indicators(BMI,FBG,FINS,HOMR-IR)were not significantly different between the groups(P>0.05).The curative effect of the two groups was similar.Conclusion:1.The two treatment methods(electroacupuncture and acupoint embedding)are effective in reducing BW,BMI,WC,HC,WHR,FINS,HOMR-IR,and F%for abdominal obese patients with insulin resistance.2.In the electroacupuncture group,the efficacy of BW,WC,HC,WHR,F%and other indicators in the early stage is faster than that of the embedding group,but in the long run,the effect of the embedding group is expected to be better than that of the electroacupuncture group.