| ObjectiveClinical observation of this study Lingguibafa acupuncture for treatment of simple obesity, compared Lingguibafa acupuncture and conventional practices of acupuncture on the body mass index of patients with simple obesity, affecting the quality of survival, glucose, lipids, and explore clinical efficacy and therapeutic mechanism Lingguibafa acupuncture for treatment of simple obesity, the promotion Lingguibafa time acupoints acupuncture treatment of simple obesity in future clinical significance.MethodsTaiwan Ou Zhiguang clinic collected from April2012to December2013clinically diagnosed70patients with simple obesity, including35cases as Lingguibafa acupuncture group,35cases as routine practices acupuncture group. Western diagnostic criteria:BMI (body mass index, BMI):Obesity Indicators2000World Health Organization (WHO) to develop the Asian adults; fat percentage (F%):reference to the19975th National Conference on Obesity Research revised "simple obesity diagnosis and evaluation standard" waist-hip ratio (WHR):reference to the2000World Health Organization (WHO) to develop obesity indications Asian adults. TCM syndrome type standard reference1989Second National Conference on Integrative Medicine Obesity Obesity standards will be divided into four types. This test will be70patients with simple obesity1:1ratio were randomly divided into two groups:group Lingguibafa acupuncture and conventional practices acupuncture group. Treatment time was30min, acupuncture once a day,5days rest for two days,20times as a course of treatment. Courses:two courses. Efficacy of specific projects include:obesity indicators:measuring weight, body mass index (BMI), the measuring arm circumference, waist circumference, abdominal circumference, hip, thigh circumference, calculation of waist/hip ratio (WHR); quality of life assessment in patients with simple obesity using WHO quality of Life scale (WHOQOL-BREF); lipid parameters include:total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C); glycemic index:measuring fasting plasma glucose (GLU), fasting insulin (Ins).ResultsBefore treatment Lingguibafa acupuncture group, sex routine practices acupuncture group, age structure, course structure, TCM syndrome type, obesity index (weight, body mass index, arm circumference, waist circumference, abdominal circumference, hip, and thigh circumferences, waist/hip ratio), WHO quality of Life scale score, serum lipids (total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol), blood sugar (fasting glucose, fasting insulin) were statistically analysis were not statistically significant, indicating that the clinical baseline data were comparable between the two groups.The evaluation results and efficacy indicators are as follows:1. Comparison of the clinical efficacy after treatment Lingguibafa acupuncture group (treatment group) clinical cure five cases, effective in17cases,9cases,4cases, the total effective number of31cases, the total efficiency of88.57%; conventional practices acupuncture group (control group) in clinical cured two cases,12cases markedly effective in13cases,8cases, the total effective number of27cases, the total efficiency of77.14%. By Ridit analysis, Z=1.25, P<0.05, statistical results in Table13below, and can be described in conjunction with Figure5:For the improvement of the clinical aspects of simple obesity effects (such as weight loss, lower BMI index, reduce belly Wai, etc.), Lingguibafa acupuncture therapy and better clinical efficacy.2. Comparison of weightWithin group comparison:After two courses, there are statistically significant (P<0.01) compared to the previous weight with acupuncture treatment group Lingguibafa simple obesity patients; routine acupuncture group practices, the treatment after two courses there were significant differences (P<0.05), decrease in body weight than before treatment. Between the two groups:a course of treatment, there was no statistically significant difference between the two groups (P>0.05); body weight after two treatment courses, acupuncture group Lingguibafa patients with simple obesity weight than conventional practices acupuncture group decrease more significantly, between the two groups was statistically significant difference (P<0.05).It suggested that simple obesity patients in reducing body weight in the short-term efficacy, the two had no significant effect of acupuncture; After two courses of treatment, body weight improved, which Lingguibafa reduce the acupuncture group the extent of the most obvious.3.Comparison of BMIWithin the group:a course of treatment, both groups of body mass index (BMI) and the difference was not statistically significant (P>0.05) before treatment. After two treatments, the acupuncture group Lingguibafa body mass index (BMI) compared with before treatment, BMI index improved significantly (P<0.01); conventional practices acupuncture group terms, after two courses of treatment, weight Index (BMI) is also reduced (P<0.05) as compared with before treatment. Between the two groups:After two courses, acupuncture group Lingguibafa patients with simple obesity body mass index (BMI) acupuncture group compared with the conventional technique, more significant decrease (P <0.05).Tip:For improving the patients with simple obesity body mass index (BMI) terms, after a course of treatment, the efficacy of two needle method not obvious, but after two courses of treatment, acupuncture Lingguibafa than conventional methods acupuncture can better reduce the patient’s body mass index simple obesity (BMI).4.Comparison of arm circumferenceWithin group comparison:either arm circumference compared to a course or two courses, Lingguibafa acupuncture group and the conventional technique of acupuncture group before treatment, the difference was not statistically significant (P>0.05). Between the two groups:no significant difference between the two groups. Tip:Lingguibafa acupuncture acupuncture and conventional methods for improving the efficacy of arm circumference in obese patients is not obvious.5. Comparison of wait circumferenceWithin group comparison:After a course of treatment, waist Lingguibafa acupuncture group compared with pre-treatment decreased (P<0.05). After two courses, waist Lingguibafa acupuncture group than before treatment reduced; conventional practices acupuncture group terms, after two courses of treatment, patients with simple obesity than before treatment to reduce waist circumference, the difference was statistically significance (P<0.05). Between the two groups:one course and two courses, conducted between two groups, no significant difference (P>0.05).Tip:Lingguibafa acupuncture acupuncture with conventional methods have a role in reducing waist circumference in obese patients, Lingguibafa acupuncture can be effective in the short-term effect, the conventional methods need two courses of acupuncture treatment before onset. Lingguibafa acupuncture, acupuncture While conventional techniques in varying degrees to reduce waist circumference in obese patients, but no significant difference in efficacy between the two.6. Comparison of abdominal circumferenceWithin the group:a course of treatment, the abdominal circumference Lingguibafa acupuncture group than before treatment have improved, the difference was statistically significant (P<0.05), after two courses, acupuncture group Lingguibafa abdominal circumference there are pre-reduction and treatment of significant differences compared (P<0.01); conventional technique acupuncture group had no significant improvement in abdominal girth after a course of treatment, but after two treatments also decreased (P<0.05). Between the two groups:two courses, two abdominal circumference difference was statistically significant (P<0.05).Tip:For improving the abdominal circumference, the Lingguibafa acupuncture group can be effective after a course of treatment, after two courses of action becomes more apparent. While conventional practices acupuncture group short-term efficacy in reducing abdominal girth little effect, but also can improve the long-term effects on abdominal circumference in obese patients situation.7. Comparison of hip circumferenceWithin the group:a course of treatment, the two groups before treatment compared to non-hip ratio improved significantly (P>0.05), after two courses, the two groups before treatment to reduce hip ratio, the difference was statistically significant (P<0.05). Between the two groups:a course of treatment, hip Lingguibafa acupuncture group and the conventional technique of acupuncture group showed no significant difference (P>0.05) between two. After two courses, hip Lingguibafa acupuncture group than conventional methods to reduce the acupuncture group was significantly (P<0.05).Tip:Hip aspects for improving obese patients, the two groups had no significant effect on the short-term effect, but in the long-term efficacy in obese patients can improve the situation of the hip and Lingguibafa efficacy of acupuncture needling techniques than conventional significant.8. Comparison of thigh circumferenceWithin the group:a course of treatment, the shares Lingguibafa Wai acupuncture group than before treatment showed no significant improvement (P>0.05), after two courses, thigh circumference and treatment Lingguibafa acupuncture group statistically significant reduction compared to the former (P<0.05); two courses and a course of treatment, the acupuncture group compared with the conventional technique before treatment were decreased (P <0.05). Between the two groups:after a course of treatment and after two courses, Lingguibafa routine acupuncture group and share techniques surrounded pairwise acupuncture group showed no significant difference (P>0.05).Tip:Two acupuncture can reduce thigh circumference in obese patients, but Lingguibafa acupuncture, acupuncture difference in efficacy between the conventional approach is not obvious.9. Comparison of WHRWithin the group:a course of treatment, waist/hip ratio Lingguibafa acupuncture group (WHR) was not significantly different than before treatment (P>0.05) compared to the two courses, Lingguibafa acupuncture group waist/hip ratio (WHR) decreased compared with before treatment, the difference was statistically significant (P<0.01); conventional practices acupuncture group, the two courses of treatment lumbar/hip ratio (WHR) and pre-treatment compared to decrease (P<0.05). Between the two groups:two courses, the acupuncture group compared with the conventional technique, Lingguibafa acupuncture for reducing the waist/hip ratio (WHR) is more obvious (P<0.05).Tip:Two acupuncture therapy for patients with simple obesity reduction in waist/hip ratio (WHR) have different levels of efficacy, but the rate of decrease in the acupuncture group Lingguibafa more significant.10. Comparison of quality of lifeWithin the group:a course of treatment, quality of life Lingguibafa acupuncture group Measurement Scale (WHOQOL-BREF) score improved than before treatment (P<0.05), after two courses, compared with before treatment, Lingguibafa quality of life scores improved in the acupuncture group had statistically significant (P<0.01); conventional practices acupuncture group aspect, after a course of treatment, two treatments, quality of Life scale (WHOQOL-BREF) scores have improved compared to before treatment (P<0.05). Between the two groups:After two courses, the quality of life Lingguibafa score acupuncture group compared with the conventional technique acupuncture group, scores improved significantly different (P<0.05).Tip:Lingguibafa acupuncture acupuncture with conventional techniques for improving the quality of life of obese patients have good regulation. Short-term effect, two needles difference method is not obvious, but the long-term efficacy, Lingguibafa acupuncture can regulate better quality of life for obese patients.11. Comparison of blood lipids①Total cholesterol (TC)Within the group:a course and two courses of treatment, total cholesterol Lingguibafa acupuncture and conventional practices acupuncture group (TC) compared with before treatment were not statistically significant (P>0.05). Between the two groups:two groups of total cholesterol (TC) pairwise comparisons between groups, no significant difference (P>0.05).Tip:simple obesity on total cholesterol (TC) regulatory aspects Lingguibafa acupuncture, acupuncture had no significant effect of conventional techniques.②triglyceride (TG)Within the group:a course of treatment, the acupuncture group Lingguibafa triglyceride (TG) compared with before treatment was not statistically significant (P>0.05); After two courses, triglyceride (TG) and treatment before there was a statistically significant decrease (P<0.01) compared to. Conventional practices acupuncture group triglyceride (TG), after two treatments, compared with pre-treatment to reduce significantly different (P <0.05). Between the two groups:two treatment after treatment, triglycerides Lingguibafa acupuncture group (TG) was significantly reduced compared to conventional practices acupuncture group (P<0.05).Tip:For simple obesity reduction in triglycerides (TG), the Lingguibafa acupuncture, conventional techniques of acupuncture obvious role in the short-term efficacy, long-term effect on the two acupuncture methods to varying degrees simple obesity patients to reduce triglyceride (TG) levels, and Lingguibafa acupuncture to reduce the magnitude of acupuncture compared with conventional techniques even more obvious.③low-density lipoprotein cholesterol (LDL-C)Within the group:a course of treatment, acupuncture group Lingguibafa low-density lipoprotein cholesterol (LDL-C) compared with pre-treatment had no significant change (P>0.05), after two treatments, acupuncture Lingguibafa group of low-density lipoprotein cholesterol (LDL-C) and statistically significant decrease (P<0.05) compared to before treatment. Conventional practices acupuncture group situation with Lingguibafa acupuncture group similar. Between the two groups:two groups of low-density lipoprotein cholesterol (LDL-C) pairwise comparisons between groups in a course of treatment, after two courses, no significant difference (P>0.05).Tip:simple obesity patients in the regulation of low-density lipoprotein cholesterol (LDL-C), the Lingguibafa acupuncture acupuncture and conventional techniques, no significant improvement in the treatment of a course of treatment after two courses of treatment, two groups of obese patients can be lowered LDL cholesterol (LDL-C) levels, two groups fairly.④high-density lipoprotein cholesterol (HDL-C)Within group comparison:After a course and two courses of treatment, Lingguibafa acupuncture group and conventional practices acupuncture group of high-density lipoprotein cholesterol (HDL-C) was not statistically significant compared with before treatment (P>0.05). Between the two groups: two groups of high-density lipoprotein cholesterol (HDL-C) pairwise comparisons between groups, no significant difference (P>0.05).Tip:Lingguibafa acupuncture, acupuncture conventional techniques for improving obese patients high-density lipoprotein cholesterol (HDL-C) levels had no significant effect.12. Comparison of blood sugar①fasting glucose (GLU)Group comparison:a course of treatment after Lingguibafa acupuncture group and the conventional technique of acupuncture group fasting glucose (GLU) compared with no statistically significant (P>0.05) before treatment; After two courses of treatment, two fasting blood glucose (GLU) compared with before treatment, varying amplitude decrease (P>0.05). Between the two groups:two groups of fasting plasma glucose (GLU) pairwise comparisons between groups in a course of treatment, after two courses, no significant difference (P>0.05).Tip:Lingguibafa acupuncture, acupuncture conventional techniques after short-term treatment of obesity in patients with impaired fasting glucose (GLU) no significant regulatory role, but in the long-term effect, two acupuncture can reduce fasting in obese patients glucose (GLU) levels.②fasting insulin (Ins)Within group comparison:After a course and two courses of treatment, Lingguibafa acupuncture group and conventional practices acupuncture group fasting insulin (Ins) compared with no statistically significant (P>0.05) before treatment. Between the two groups:two groups of fasting insulin (Ins) pairwise comparisons between groups in a course of treatment, after two courses, no significant difference (P>0.05).Tip:For simple obesity, fasting insulin regulation (Ins) levels of the two acupuncture techniques no significant improvement.ConclusionThis study aimed to investigate Lingguibafa acupuncture, conventional techniques of acupuncture clinical efficacy of two different acupuncture therapy on patients with simple obesity, quality of life and affect blood sugar, blood lipids, to provide the basis for the clinical treatment of simple obesity. Based on the above findings, Lingguibafa acupuncture and conventional practices acupuncture group of simple obesity patients have better clinical efficacy, to some extent, can improve clinical symptoms in obese patients, including lowering, etc.; in medicine Although the improvement in the treatment of children with hyperactivity index, social skills, self-control, the ability to understand other aspects of learning have a certain effect, but short-term effect of the treatment effect is not satisfactory. In contrast, acupuncture combined with auricular acupressure therapy in children with liver-kidney JCBCL ADHD child behavior scores, hyperactivity index score and TCM syndrome symptoms and other aspects of the Chinese and Western medicine treatment compared with larger advantage. |
PDF Full Text Request