| ObjectiveObservation points embedded wire,auricular application pressure,cupping therapy,the three different methods in the treatment of simple obesity clinical curative effect,compare the three kinds of treatments for obesity related indicators of different influence,discusses the three optimal effect on the therapy in the treatment of simple obesity,to explore more effective for simple obesity treatment,in order to optimize the provide clinical basis for treatment of simple obesity.Methods(1)Basic data: according to the diagnostic,inclusion and exclusion criteria,a total of 68 subjects meeting the requirements were included,and they were randomly assigned to the electroacupuncture group,acupoint embedding group,auricular point sticking group and control group through the random number table method according to the order of visit or recruitment of the subjects,with 17 patients in each group.5 cases fell off,3 cases were removed,and 60 cases were finally completed.(2)Grouping and intervention methods: all the four groups were given personalized diet and exercise guidance to develop exercise habits for them to adjust their diet structure.The curative group:Main acupoints: tianshu(bilateral),zhongwan,zusanli(bilateral),fenglong(bilateral),dazheng(bilateral),pishu(bilateral),weishu(bilateral),and ah shi acupointsSyndrome differentiation of acupoints: hyperpyrexia type: qu chi(on both sides),abdominal knot(on both sides),on the great deficiency(on both sides);Type of liver depression and qi stagnation: with veins(bilateral),ganshu(bilateral),sanyin(bilateral);Spleen deficiency and qi deficiency Yang deficiency type: jiaguan yuan,shenshu(bilateral),sanyin(bilateral);No acupoints are added or subtracted without obvious syndromes.The electrodes were connected at tianshu(on both sides),daheng(on both sides),zusanli(on both sides)and fenglong(on both sides).Tianshu,daheng(on both sides),and zusanli and fenglong(on both sides)were in one group,while zusanli and fenglong were in one group.Treatment was performed 3 times a week for 4 consecutive weeks.Acupoint embedding line group:Main acupoints and syndrome differentiation of acupoints with electroacupuncture group,each syndrome type for 20 treatment points,inadequate jia a is acupoints.Once every 2 weeks,2 times of continuous treatment is a course of treatment.Auricular point sticking group:Ear acupoints were selected for stomach,spleen,liver,kidney,tri-jiao,endocrine,hunger,subcortical,large intestine and small intestine.Once a week,bilateral alternating,continuous treatment 4 times for a course of treatment.Control group:Diet control and exercise instruction only,4 weeks for a course of treatment.Compensatory treatment was given after eight weeks.(3)Observation indicators: body weight,weight loss rate,waist circumference,body mass index,body fat rate.(4)Safety evaluation: before and after each treatment,observe the changes in subjects’ vital signs and whether there are any local or systemic adverse reactions.If there are any symptoms,treat them in time,grade the safety evaluation and record the adverse reaction events.(5)Efficacy evaluation: the obesity indicators(body weight,waist circumference,body mass index,body fat rate)and the degree of decline of the subjects were observed before and after treatment,and the differences in efficacy before and after treatment and between the four groups were compared.Results(1)Comparison before and after treatment: after the paired t-test analysis,there were significant differences in body weight,waist circumference,body mass index,and body fat ratio between the four groups of subjects after 2 courses of treatment(all P < 0.05).(2)Results of comparison of efficacy between groups:Compared with the total effective rate of each group,the optimal efficiency was ranked as the BBB 2 control group of BBB 1 auricular point BBB 0 acupuncture group in acupoint embedding group,among which,the total effective rate of the wire embedding group and the electroacupuncture group was significantly higher than that of the control group,and the difference was statistically significant(P < 0.05).The pairwise comparison of the total effective rate between the wire embedding group,the electroacupuncture group and the auricular acupoint group showed no statistical significance(P >,0.05).There was no significant difference in body weight,waist circumference,BMI and body fat rate between the three groups before treatment(P >,0.05).The difference of the four indexes after treatment was that the wire embedding group was better than the electroacupuncture group and the auricular acupoint group.After pairwise comparison between the groups,there was no significant difference in the four indexes between the embedded wire group and the electroacupuncture group(P >,0.05).There were significant differences in the four indexes between the buried line group and the auricular acupoint group(P < 0.05).There were significant differences in weight loss rate and body fat rate between the electroacupuncture group and the auricular acupoint group(P < 0.05),but no statistically significant differences in waist circumference and BMI.(3)Safety evaluation results: during the treatment in this study,2 cases of local small indentation appeared in the wire embedding group,and subjects were asked to gradually fade with time after local hot application.No serious adverse events,such as acupuncture dizziness,fever,allergy,local large area bruising and suppurative infection,were observed in all the cases,indicating good safety.Conclusion(1)Electroacupuncture,acupoint catgut embedding,and auricular sticking are all effective in the treatment of simple obesity.The three methods can all improve the rate of weight loss,waist circumference,BMI and body fat of patients.(2)Acupoint catgut embedding method is comparable to electroacupuncture in improving the rate of weight loss,waist circumference,BMI and body fat of patients,and is significantly better than auricular point sticking method.Electroacupuncture was superior to auricular acupuncture in improving the rate of weight loss and body fat,and was comparable to auricular acupuncture in improving waist circumference and BMI.(3)Auricular point sticking,acupoint embedding and electroacupuncture are safe and effective in the treatment of simple obesity. |
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