Clinical Research Of Simple Obesity Treatment With Electroacupuncture Combined With Gejiangjiu Therapy

ObjectiveThis randomized controlled clinical research adopts the clinical epidemiological methods, clinical research methods and statistical methods. This subject adopts randomized controlled studies the effect of electroacupuncture combined with Gejiangjiu therapy (indirect moxibustion by placing a slice of fresh ginger between patient's skin and moxa) treatment of simple obesity treatment, aims to explore the clinical efficacy of combination of reviews electroacupuncture combined with Gejiangjiu therapy treatment and the clinical curative effect of simple obesity for clinical treatment effect mechanism, and provide basis for overweight and obesity.It discusses the difference of the clinical effect and functional mechanism of the therapies and provides the basis for the clinical treatment of simple obesity.MethodsThe research has 72 patients of simple obesity who were treated in Chinese Medicine clinic in Taiwan from October 2009 October 2010 and who met the case selection standards. Divide the patients into 2 groups with 36 in each group at the rate of 1:1. Four weeks make a period of treatment, and there are 2 periods in total. After every two weeks, measure patients'height, weight, BWH (bust, waist and hips),BMI, F% and other obese indexes. Measure blood and biochemical indexes like GLU, Ins, TC, TG, HDL-C, and LDL-C, etc and the curative effect. Before and after the treatment, check the safety indexes.Use software EPIDATA 3.1 to set up the database and use software SPSS 15.0 for statistics and analysis. The measurement material is expressed by x±s and the numeration material by constituent percentage. For the interclass comparison of the measurement material, take F test (for heterogeneity, take Kruskal-Wallis H rank sum test); for the interclass multiple comparison, take q test (Newman-Keuls); for self circa comparison, take the t pair test or Wilcoxon pair rank sum test. For the interclass comparison of the classified material, takeχ2 test. For the interclass comparison of the ranked material, use Kruskal-Wallis H rank sum test. Draw the statistics graphs with software Graph Pad Prism 5.0. ResultsThis research collects 72 cases. The trial Group has 36 cases, the Acupuncture Therapy control Group 36 cases. This study used a randomized controlled trial methods were ongoing clinical trials 72 cases qualified participants. Cupping combined with 36 cases of every ginger moxibustion group; Cupping 36 cases of control group. Are all clinic patients. Two groups of comparability check:two sets of age, gender, duration, Chinese medicine typification comparison, there are no significant difference in meaning. The two groups before treatment condition degree, inappetence degree, no significant difference compared significance. The two groups before treatment fatigue, shortness of breath, fatigue, drowsiness, good hunger feed more, constipation, abdominal distension, white, Dan zi grain, khan more afraid of clinical symptoms such as heat, no significant difference compared significance. Two groups of tongue compared qualitative, coating on the tongue, pulses, no significant significance difference. Before treatment two group of gender, age, duration, obesity, TCM syndrome differentiations, body mass index, body fat percentage, measurements, insulin, blood sugar and cholesterol, triglyceride blood biochemical indexes such as there were no statistically significant by analysis between the groups that two clinical baseline material comparable.Curative effect Comparison:4.75%more curative effect, syndromes group, while clinical cure rate for significant efficiency for 47.2% of efficient group total effectiveness (13.8%, clinical cure%+powerfully%+effective%) for 94.5 percent; Clinical cure rate for control of 22.2%, significant efficiency, effective for 27.7% 25.0% compared, the comparison group total effectiveness (clinical cure%+powerfully%+effective%) for 75.0%. Two group total effectiveness is exact probability method inspection, P=0.04), there is a significant difference significance (P<0.05). Two groups after treating clinical therapeutic level comparison (rank and inspection inspection z=2.39, P=0.016), there is a significant difference learning significance (P<0.05). Tip the clinical curative effect of 4.75%more than control group.Safety test indicated, before treatment stool blood and urine and kidney function, electrocardiogram routine and normal, not seen abnormal changes after treatment, show that the clinical application security. ConelusionBased on the clinical results, simple obesity has housed notable curative effect, can significantly reduce the body mass index, patients with body fat percentage and waist, hip circumference; On fasting insulin, cholesterol, triglyceride and high-density lipoprotein cholesterol and low density lipoprotein cholesterol with benign adjust action; Experimental significantly higher than control group, and the total effective rate in improving the obesity index and blood biochemical indexes is purer cupping therapy have greater advantages.To sum up, electroacupuncture combined with Gejiangjiu therapy with reviews the curative effect of simple obesity is good, it can improve the clinical symptoms.