| Simple obesity, diabetes and hypertension as risk factors for cardiovascular and cerebrovascular diseases and other chronic diseases, serious impact on people’s physical and mental health. With the development of society, the continuous improvement of living standards, and the bad habits of life, more and more of the population.Modern western medicine understanding of simple obesity in relatively late, now tend to believe that genetic and environmental factors are important factors of simple obesity, and the metabolic syndrome, cardiovascular disease, insulin resistance and liver fatty degeneration of close relationship. But the mechanism is not very clear, the treatment method of finite, diet control, exercise therapy is the main non drug treatment, followed by the weight loss drug. Weight loss drugs including appetite inhibitors, steroids, biguanide hypoglycemic agents, usually have some side effects.The obesity know very early Chinese medicine,"plain questions, through actual situation theory" in the comments that "fat is elegant, high Liang Zhi ji"."Plain questions·odd disease theory":"husband five entrance, hidden in the stomach, spleen to its essence, body fluid in the spleen, so make the population willing, this fat are also, who will eat sweet and number of fat also," that obesity is improper diet, spleen and stomach of arrhythmia induced by.The etiology of this disease mainly has two aspects of internal and external factors, internal because endowment deficiency, because too Feigan, less than lying, caused by spleen qi is weak, in sputum and dampness; or older kidney, injury, emotional imbalance of yin and Yang, phlegm and blood stasis inner product, can make the turbid pathogens is endogenous, stasis in the body, due to obesity. The main pathogenesis, kidney, liver, spleen and stomach, phlegm, blood stasis and damp, closely related to. Spleen transport, with diet, metaplasia, absorption and water valley subtle physiological function; the loss of transport of the spleen, water valley Feigan nothing subtle to Qi and blood, phlegm dampness in the body into the lipid accumulation, leading to obesity. The kidney stores the true element of gas, is the root of human life activities. The deficiency of kidney qi, gasification disorders, kidney yang deficiency, cannot warm spleen, transformed by subtle material and storage loss of balance, leading to obesity. Liver, regulating qi, help the spleen, liver qi stagnation, Qi is wrong, the spleen, leading to obesity, blood stasis, phlegm retention is obesity more. The main receiving the stomach digesting food, moss, polyorexia, hyperphagia, obesity.Acupuncture therapy is an important method for the treatment of traditional Chinese medicine of simple obesity, but the existing literature on clinical reports, there are problems efficacy evaluation criteria is not a huge difference, clinical curative effect etc.. The other hand, acupuncture treatment is longer, but the long-term effect is uncertain. This research aimed at these problems, observe the fertilizer three needling combined with acupoint catgut embedding for treatment of simple obesity of spleen deficiency type clinical results of a randomized control method.1. objective1.1observation of fertilizer three needle combined with acupoint catgut embedding for treatment of simple obesity clinical effect;1.2The difference between the treatment effect comparison;1.3Effects of observation fertilizer three needling plus Acupoint Catgut Embedding Therapy on simple obesity patients quality of life;1.4analysis fertilizer three needle combined with acupoint catgut embedding therapy mechanism.2. methods2.1literature researchThe literature research part mainly reviewed the treatment of acupuncture on simple obesity, the pathology, physiology, molecular biology, pharmacology and so on to separate; clinical study progress on mechanism and treatment of the disease, a detailed review of acupuncture. 2.2clinical studyWill be included in the60cases in this study were randomly divided into three group, catgut embedding needle fertilizer group and combined group3groups,20patients in each group. Basic treatment including diet and exercise, in order to make the applied factors are consistent, the study is only a general diet control, not on a diet, not overeating; sports daily fast walking for30minutes.Fertilizer three needle for treatment of selected Zusanli (bilateral), pulse (bilateral), zhongwan. The above points are perpendicularly, gas was inserted with, have a strong sense of the needle is better; the G6805type electro machine, dilatational wave, the size of the patients can tolerance. Every40minutes, once every other day, Sunday is a day of rest, a total of4weeks of treatment.The first set of points catgut embedding therapy for Pishu (bilateral), Weishu (bilateral); the second group hole Tianshu (bilateral), large cross (bilateral). Alternate use of two points.1times a week, for4weeks.The group used fertilizer three acupuncture combined with catgut embedding therapy. Acupoint selection, operation method and course of treatment with the two groups.All the patients, at the end of treatment were observed respectively. General information:including body weight, body mass index (BMI), waist circumference, hip circumference; quality of life scale (WHOQOL-BREF scale), and safety evaluation.3.results3.1literature researchLiterature shows that, at present the method of treatment of simple obesity also varied, traditional Chinese medicine therapy clinical more common applications, high safety, treatment method is most often used in patients with. But the literature on clinical cases reported, less study on Mechanism of treating various treatment methods; and the different clinical types are unified, not standard therapy itself was not standardized, determine the efficacy of different standards, so it is difficult to evaluate the effect of various treatments.3.2clinical study3.2.1general information The statistical results show that, three groups in gender, age, there was no statistical significance (P>0.05), suggesting that the baseline data between the groups of equilibrium, with comparable.3.2.2Analysis of weight resultsComparison of three groups of patients before treatment body weight, were not statistically significant (P>0.05), treatment of body weight were significantly decreased than before treatment (P<0.05), but the difference between every two groups were not significant, no statistically significant differences between the three methods suggested. That can be three kinds of treatment methods reducing weight in patients, but the efficacy of.3.2.3Analysis of height resultsThree groups of patients before treatment, after treatment compared to the height, the differences were not statistically significant (P>0.05), and the difference between each of the two groups were not significant, no statistically significant differences between the three methods suggested. The three methods had no effect on the patient height.3.2.4Analysis of BMI resultsCompared three groups of patients with BMI before treatment, there were no significant differences (P>0.05), BMI after treatment than before treatment were significantly decreased (P<0.05), but the difference between every two groups were not significant, no statistically significant differences between the three methods suggested. Three treatment method that can be reduced in patients with BMI, and considerable effect.3.2.5analysis of the waistlineComparison of three groups of patients before treatment waist circumference, were not statistically significant (P>0.05), waist circumference treatment than before treatment were significantly decreased (P<0.05), but the difference between every two groups were not significant, no statistically significant differences between the three methods suggested. The three methods for the treatment of patients can be reduced waist, and considerable effect.3.2.6The analysis results of waist hip ratioThree groups of patients waist hip ratio, were not statistically significant (P>0.05), embedding group, combined group treatment waist hip before treatment were significantly decreased (P<0.01), and fat three needle treatment waist hip ratio was decreased (P>0.05). The catgut embedding therapy, combination therapy can reduce the patient waist hip ratio. But the difference between every two groups were not significant, no statistically significant differences between the three methods suggested.3.2.7Analysis of the WHOQOL-BREF tableIn the aspect of quality of life total score, total score were compared between three groups of patients before treatment, the difference had no statistical significance (P>0.05), the total score after treatment than before treatment were significantly improved (P<0.05), but the difference between every two groups were not significant, no statistically significant differences between the three methods suggested. Three kinds of treatment methods that can improve the quality of life of patients with total score, and considerable effect.In the total evaluation of health status, the total evaluation and comparison of the three groups of patients before treatment, the difference had no statistical significance (P>0.05), after treatment than before treatment could improve the total evaluation (P<0.05). In combined treatment group was compared with the other two groups, significant differences, suggesting better total evaluation of health condition, there was no significant difference between the three groups, and the fertilizer needle embedding therapy group, no statistical significance between the tips of the difference between the two methods. That combination therapy in general evaluation of health status was better than that of single treatment.Scores in physical field, psychological field, the field of the environment, the three groups of patients before treatment were compared, the difference was not statistically significant (P>0.05) after treatment than before treatment, scores significantly improved (P<0.05), but the difference between every two groups were not significant, no statistically significant differences between the three methods prompt. Three treatment method that can improve the patients physical field, psychological field score, the field of environment, but also a considerable effect.Score in social relations, the three groups of patients before treatment were compared, the difference was not significant (P>0.05), treatment group were significantly increased compared with before treatment (P<0.01), and fat three needle group, catgut embedding group after treatment were increased (P>0.05) social relations in the field of patients to improve the combined group after treatment.In the comprehensive score, three groups of patients before treatment were compared, the difference was not statistically significant (P>0.05) after treatment than before treatment, scores significantly improved (P<0.05), but the difference between every two groups were not significant, the differences between the three methods showed no statistical significance. That can be three kinds of treatment methods to improve the patients comprehensive since the score, but the efficacy of.4. ConclusionFertilizer three acupuncture, catgut embedding therapy and combination method is effective in the treatment of simple obesity can be. Combination therapy is better than single method results in some aspects, including lower waist to hip ratio, improve the grade evaluation of health and social relations. |
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