| Objective: This study observed and analyzed the effect of acupoint catgut embedding method with dredging and regulating Belt Vessel on waist circumference and other indexes of perimenopausal obese women,and compared it with simple lifestyle guidance,in order to provide more practical and feasible traditional Chinese medicine treatment scheme for perimenopausal obese women.Methods: In this study,72 perimenopausal obese women who met the inclusion criteria were randomly divided into observation group and control group,with 36 cases in each group.The observation group was given acupoint catgut embedding method with dredging and regulating Belt Vessel combined with lifestyle intervention,while the control group was given lifestyle intervention.Acupoint catgut embedding was carried out once a week,4 weeks as a course of treatment,a total of 2 courses of observation and treatment.Waist circumference,hip circumference,waist-hip ratio,body weight,BMI,F%,subcutaneous fat thickness and blood pressure were evaluated before treatment,after one course of treatment and after two courses of treatment.The scores of related scales were recorded before treatment and after 2 courses of treatment,and the data were statistically analyzed.Results:1.The total effective rate was 91.2% in the observation group and 61.8% in the control group.There was significant difference between the two groups(P<0.05).2.Intra group comparison:(1)Observation group:Compared with before treatment,waist circumference,waist hip ratio,hip circumference,body weight,BMI,F%,subcutaneous fat thickness,SF-36,IWQOL-Lite,SES and HAD scale scores were significantly improved after treatment(P<0.05).(2)Control group: Compared with before treatment,waist circumference,waist hip ratio,body weight,BMI,F%,subcutaneous fat thickness,SF-36,IWQOL-Lite,SES and HAD scale scores were significantly improved after treatment(P<0.05),but hip circumference was not significantly improved(P>0.05).3.Comparison between groups: After one course of treatment,there was significant difference in BMI,subcutaneous fat thickness points C and D between the observation group and the control group(P<0.05),and there was no significant difference in other indexes(P>0.05).After 2 courses of treatment,there were significant differences in waist circumference,body weight,BMI,F%,subcutaneous fat thickness points A,B,C and D,SF-36,IWQOL-Lite,SES and HAD(D)in the observation group compared with the control group(P<0.05).There were no significant differences in hip circumference,waist-hip ratio,subcutaneous fat thickness point E and HAD(A)scale score between the control group and the control group(P>0.05).Conclusion: The acupoint catgut embedding method with dredging and regulating Belt Vessel can effectively reduce the waist circumference of obese women in perimenopausal period,and improve other relevant obesity indicators,relieve negative emotions,and improve the quality of life. |