| BackgroundObesity is a common clinical disease, is divided into simple obesity and secondary obesity, simple obesity without a clear cause may be related to genetics, diet and exercise habits and other factors, means not associated withsignificant neurological, endocrine, morphological and functional changes; secondary obesity is obesity caused due to other diseases that occur, according to the cause of the obesity secondary to obesity, but also divided into hypothalamic obesity, pituitary obesity, thyroiddysfunction, obesity, Cushing’s syndrome caused by obesity, gonadal dysfunction obesity. Obesity is often a significant correlation with type2diabetes, cardiovascular disease, hypertension, hyperlipidemia, and other diseases. Of overweight and obesity incidence is similar, showing increasingly higher and multi-age, younger age trend. Obesity has affected the health of more than200million Chinese people, obesity is expected the next few years our country will also rising rapidly.Western medicine treats simple obesity diet control and exercise therapy, and be certain drug treatment, conditioning diet and exercise therapy in reducing the effect of body weight was not significant, the patient is also difficult to persevere, and western medicine weight loss therapy adverse reactions, central and digestive system in varying degrees, so that some drugs has been restricted. Acupuncture without significant side effects, convenient, a significant effect, has gradually become the most commonly used treatment for the clinical treatment of simple obesity. Paste through the the catgut embedding of lasting stimulation and auricular pressure regulating organs of both a combination for the treatment of simple obesity patients lose weight, adjust blood sugar, blood lipid status, quality of life, and contributed to a better understanding of obesity mechanism to provide the basis for to find effective obesity prevention and treatment measures.ObjectiveThe study used the clinical research methodology, randomized controlled clinical study in patients with simple obesity, catgut embedding combined with auricular pressure treatment and catgut embedding, the routine acupuncture as a control, observe the simple catgut embedding combined with auricular pressure treatmentthe clinical efficacy of obesity to investigate the catgut embedding, auricular acupressure, acupuncture for treatment of simple obesity clinical efficacy, as well as the impact of obesity, blood lipids, blood glucose, for the treatment of simple obesity researchbasis.MethodsCases from91cases from Taiwan Zhengkai Wen Chinese medicine clinic patients, case collection time for the January2012March2013. Of cases of simple obesity screening criteria, collected a total of91cases, of which31cases as catgut embedding combined with auricular pressure group,30cases as catgut embedding group and30cases as a regular group. Western diagnostic criteria with reference to the19975th National Obesity Research Conference revised simple obesity diagnosis and efficacy evaluation standard, TCM Syndrome Standard second reference to the1989National Integrative Medicine Obesity Conference standard obesity divided into4types (National Integrative Medicine the second obesity Conference Proceedings [C] Beijing, China academic Press,1989). Catgut embedding embedding every two weeks once the auricular acupressure pressure of3times weekly stickers, acupuncture treatment a week, for4weeks as a course of treatment, a total of two courses. The efficacy of specific projects include:measurement of body weight, arm circumference, waist circumference, waist circumference, hip circumference, thigh circumference, waist/hip ratio, fat percentage (F%) and other indicators of obesity, body mass index (BMI), Obese quality of life assessed using the WHO quality of Life scale (WHOQOL-BREF). Obesity evaluation standard reference1992Third National Obesity Research Conference and WHO to develop Asian adult obesity assessment standards.Results①The comparison of body weightAfter4weeks of treatment, the catgut embedding combined with auricular pressure group compared with before treatment weight decreased, weight loss was statistically significant (P<0.05); catgut embedding group, the weight of the routine acupuncture group compared with before treatmentreduce, but not statistically significant (P>0.05). After8weeks of treatment, the catgut embedding combined with auricular pressure group significantly reduced body weight than before treatment, there was a significant difference (P<0.01); catgut embedding group routine acupuncture group weight than before treatment (P<0.05lighter), embedding therapy than the decrease of acupuncture, but the difference was not statistically significant.It suggested that in the control of body weight in patients with obesity, catgut embedding combined with auricular acupressure treatment after4weeks of treatment can reduce weight, simple obesity patients after8weeks of treatment, the effect is more obvious; single acupuncture therapy, such as catgut embedding, after4weeks of treatment, acupuncture treatment of patients with simple obesity weight loss is not obvious, but after8weeks of treatment, body weight can have a significant reduction.②The comparison of body mass index (BMI)After4weeks of treatment, combined with catgut embedding the auricular pressure group The body mass index (BMI) compared with before treatment, the difference was statistically significant (P<0.05) after8weeks of treatment, body mass index (BMI) was significantly reduced (P<0.01); catgut embedding group routine acupuncture group after4weeks of treatment, body mass index (BMI) compared with before treatment to improve marginally, after8weeks of treatment, the two groups before treatment were comparedthe extent of the decrease (P<0.05). It suggested that catgut embedding combined the auricular acupressure improve after4weeks of treatment, patients with simple obesity body mass index (BMI), in terms of long-term efficacy, that is, the extent of decline after8weeks of treatment is more obvious; catgut embedding routine acupuncture treatment in the short-term treatment was stopped after eight weeks of treatment can reduce the body mass index (BMI) of the patients with simple obesity.③The comparison of fat percentage (F%)After4weeks of treatment, catgut embedding combined the auricular pressure group fat percentage decreased (P<0.05) before treatment, after8weeks treatment, combined with catgut embedding to auricular pressure group fat percentage (F%) and treatment before phasethan the decrease was statistically significant (P<0.01), catgut embedding group routine acupuncture group compared with before treatment, fat percentage (F%) decrease was statistical ly significant (P<0.05). It suggested that improve the patients with simple obesity fat percentage (F%), catgut embedding combined with auricular acupressure treatment decreased more significantly after the8-week course of treatment; the catgut embedding of4weeks of treatment, routine acupuncture treatment for reducing simple the percentage of fat in patients with obesity treatment was stopped, and in the long-term efficacy, significant improvement after8weeks of treatment.④The comparison of arm circumference, abdominal circumference, waist circumference, hip circumference, femoral circumference, the waist/hip ratioAfter4weeks of treatment, the catgut embedding combined with auricular pressure group, catgut embedding group, the arm circumference pre-treatment of the routine acupuncture group, the difference was not statistically significant (P>0.05). After8weeks of treatment, three sets of arm circumference compared with before treatment, have different levels of reduction in the difference was statistically significant (P<0.05), which catgut embedding combined with the auricular pressure groups to reduce the most significant. Tip:in the short-term efficacy of the three groups of patients with simple obesity arm circumference were not significantly improve the role, after8weeks of treatment, the three groups of patients with simple obesity can be reduced to some extent, arm circumference.After4weeks of treatment, the abdominal circumference to improve the situation in the three groups, although reduced compared with before treatment, but were not statistically significant (P>0.05). After8weeks of treatment, the three groups have different levels of abdominal circumference than before treatment decreased (P<0.05). Tip:after4weeks of treatment, the three groups of patients with simple obesity abdominal circumference was no significant improvement after8weeks of treatment, three groups of patients with simple obesity can be reduced to some extent, abdominal circumference.After8weeks of treatment, three groups of waist circumference compared with before treatment, were reduced to varying degrees (P<0.05), which catgut embedding combined with auricular pressure group decreased the most. Tip: catgut embedding combined with auricular pressure group, catgut embedding group routine acupuncture group for improving the waist of patients with simple obesity, but the short-term effect is not obvious to improve the situation.After4weeks of treatment, catgut embedding combined the auricular pressure group hips lower than before treatment (P<0.05), and catgut embedding group routine acupuncture group compared with before treatment was no significant difference (P>0.05). After8weeks of treatment, the three groups of the hip compared with before treatment, to reduce a significant difference (P<0.05). Tip:After8weeks of treatment, the three groups have varying degrees of effectiveness in reducing obesity in patients with hip.After8weeks of treatment, the bit embedding combined with auricular pressure group, catgut embedding group, a significant difference (P<0.05) compared to the routine acupuncture group thigh circumference before treatment. Tip:after8weeks of treatment, catgut embedding auricular pressure group, catgut embedding group routine acupuncture group obese patients can reduce thigh circumference.After4weeks of treatment, three groups waist-to-hip ratio compared with before treatment, were not statistically different (P>0.05). After8weeks of treatment, the catgut embedding combined auricular pressure groups waist-to-hip ratio to reduce significant difference (P<0.05), but catgut embedding group routine acupuncture group before treatment compared to no significant improvement (P>0.05). Tip:catgut embedding combined with auricular acupressure can improve obesity in patients with waist-hip ratio, and monotherapy (the catgut embedding, acupuncture treatment) is not obvious.⑤Comparison of the life quality (WHOQOL-BREF)After4weeks of treatment, the three groups of quality of life score between the difference was not statistically significant (P>0.05); quality of life score after8weeks of treatment, catgut embedding combined with auricular pressure group than catgut embedding group routine acupuncture groupsignificantly improved (P<0.05). Tip:three groups of treatment to improve the patient’s quality of life (WHOQOL-BREF) have some improvement, which catgut embedding combined effect of auricular acupressure plus.⑥The comparison of fasting blood sugarAfter4weeks of treatment, catgut embedding combined with auricular pressure group, catgut embedding group routine acupuncture group fasting blood glucose compared with before treatment was not statistically significant (P> 0.05). After8weeks of treatment, the catgut embedding combined with auricular pressure group, the routine acupuncture group fasting blood glucose compared with before treatment, to reduce a significant difference (P<0.05); catgut embedding group before treatment was not significantly different compared to (P>0.05). Tip:reduce fasting blood glucose of patients with simple obesity after8weeks of treatment, catgut embedding combined with auricular acupressure, acupuncture treatment of obese patients fasting blood glucose with a certain role in reducing the.⑦The comparison of fasting insulin4and8weeks after treatment, catgut embedding combined with auricular pressure group, catgut embedding group routine acupuncture group three groups of fasting insulin compared with before treatment was not statistically significant (P>0.05). Tip:no significant effect in reducing fasting insulin in patients with simple obesity, the efficacy of three groups.⑧The comparison of blood total cholesterolAfter4weeks of treatment, catgut embedding combined with auricular pressure group, total blood cholesterol of catgut embedding group routine acupuncture group compared with before treatment was not statistically significant (P>0.05). After8weeks of treatment, the three groups total blood cholesterol decreased than before treatment, the difference was statistically significant (P<0.05). Tip:After8weeks of treatment, three groups in reducing total blood cholesterol for patients with simple obesity has a certain effect.⑨The comparison of blood triglycerideAfter4weeks of treatment, the catgut embedding combined with auricular pressure groups, three groups of triglycerides catgut embedding group routine acupuncture group compared with before treatment was not statistically significant (P>0.05). After8weeks of treatment, three sets of blood triglycerides than before treatment difference was statistically significant (P<0.05). Tip:After8weeks of treatment, three groups have a certain effect in reducing blood triglyceride patients with simple obesity.⑩The comparison of obesity clinical efficacyCatgut embedding combined the auricular pressure group, catgut embedding group routine acupuncture group after treatment by Kruskal Wallis H rank sum test, H=23.09, P=0.037, significant difference between the three groups (P<0.05), catgut embedding combined with auricular pressure group, the total effective rate was90.3%, the catgut embedding total effective rate was70.0%, routine acupuncture group total effective rate was66.7%. Tip catgut embedding combined with the auricular pressure therapy for patients with simple obesity with catgut embedding acupuncture treatment, compared to conventional acupuncture therapy, the more significant clinical efficacy.ConclusionBased on the above findings, catgut embedding combined with auricular pressure group, catgut embedding group routine acupuncture group with simple obesity have varying degrees of clinical efficacy, can significantly reduce the patient’s body mass index, fat percentage, waist circumference, waist, thigh circumference, hip circumference and obesity indicators; benign role in the adjustment of the quality of life of obese patients, and patients with simple obesity fasting blood glucose, serum total cholesterol and serum triglycerides these biochemical indicators have some improvementeffect. Catgut embedding combined the auricular pressure group Obesity clinical total effective rate was significantly higher than catgut embedding group routine acupuncture group, to improve the obesity index, blood sugar, cholesterol and quality of life compared to the monotherapy big advantage. The therapy without medication, patients with no side effects, effective, and lasting effect, worthy of promotion. |
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