| Objective: 1．to evaluate the effect on the indicate number, regarding the electric acupoints combine with other treatments to cure the simple obesity.2．To evaluate the cure effect regarding the electric acupoints combine with other treatments towards the simple obesity.Design: Series case observation studyMaterials and methods1．Case source: The 78 patients with simple obesity problem, from October, 2006 to April, 2007 were all volunteers of entering into this study also sign the informed consent.2．Treatment2．1 Acupoints: Main points:xiawan, Zhongwan, Huangshu, Shuifen, Qihai, Fengshi, Xuehai, Liangqiu , Zusanli, Yinlingquan etc.Upper Back: Pangguangshu , Shenshu , Dachangshu , Zhibian , Chengfu with longneedle 3．5-4 inch. Plus Weizhong with ChengshanArm: On biceps m. of the arm bellows Ashi acupoints.Leg: Fengshi and Ashi to form an equal side triangleThe patients with constant constipation acupoints with DahengThe patients without constipation acupoints with TianshuDiagnosis:Stomach-intestine hot patients will add acupoints with Neiting, Hegu;Spleen weak cause the water stuck inside will add acupoints with Fenglong,Yinlingquan;Liver stock with air the patients will add with Taixi, Taichong, and Ganshu.Each time stay for 25min.2．2 Manipulation: Using 30# 2-5inch needles which were made of stainless steel, puncture perpendicularly 1-1．5 inch, puncture obliquely 0．5-1 inch, the patients should feel aching and distending at local place, also connect the two electrodes of electronic acupunctoscope with the needle handles at Tianshu and Fengshi points. Frequency was set at 20 Hz, continuous wave, the tension is appropriate when the abdominal muscles quiver slightly. Retain the needles for 25 min, once a day, five times per week from Monday to Friday, two weeks for one course of treatment. Second course of treatment, twice a week for two weeks. Third course of treatment, once a week for one month. Total course of treatment is 2 month for 18 times.3．Outcome measures3．1 Short-term effectThroughout before and after two month of the treatment then combine all the results like weight, buttocks length, waist length and BMI to evaluate the short-term effect regarding the electric acupoints combine with other treatments towards the simple obesity.3．2 Long-term effectFollow-up survey in the 3 month after treatment, follow up weights, BMI to evaluate the long term effect regarding the electric acupoints combine with other treatments towards the simple obesity.3．3 The method to evaluateOne person in charge with all the investigate work including before, after and follow up all the numbers which are weights, waist length, buttocks lengths.4．Safety evaluationsObserve the basic life appearance. Observation and note the adverse reactions during the treatment such as ache dizziness, reddish and swelling, bleeding around the needle points, addicted, or Sid effect reaction ect. The effect on nerve system: clear mind, confuse, sleepy; appearance: normal, exciting, and depressing; sleeping: normal, hard to fall into sleep, dream a lot, and wake up too early. Digestion: appetite, stool situation, hungry feeling.5．StatisticsWe used SPSS 12．0 to analyze data such as the outcome number regarding the weights, buttocks length, and waist length, BMI with T test; regarding the fatness degree separation before and after the treatment used NPar Tests to statistics all the changing situation including before, after and follow up the treatment in order to evaluate the cure effect on the indicate number regarding the electric acupoints combine with other treatments towards the simple obesity, and to evaluate the cure effect. Outcome and analysis1．Short-term effectAfter the treatment the patients' weight, waist length, buttocks length BMI are all reduced. The statistics (p<0．05) are meaningful which represent that electric acupoints can reduce the simple obesity problem. In the 78 patients, 4 patients' weights become normal, accounting for 5．12%; 12 recovered in treatment, accounting for 15．38%; 14 patients had effective effect, accounting for 17．95%; 48 had no effect, accounting for 61．54%. The total effective rate is 38．46%2．Long-term effectAfter treatment the patients' weights, waist length, buttocks length, BMI are all reduced, the statistics (p<0．05> are meaningful but the waist length did not have obvious change (p>0．05) , which indicate that the electric acupoints combine with other treatments towards the simple obesity's patients have certain long-term effect on weights, buttocks length, BMI but not with the waist length. In 11 patients, 5 patients recovered in treatment, accounting for 45．46%; 4 patients had effective effect, accounting for 36．36%; 2 patients had no effect, accounting for 18．18%. The total effective rate is 81．82%3．Safety evaluations3．1 The observation for patients overall appearance: all patients are showing normal3．2 The observation for abnormal: all patients did not show any dizziness, reddish, swelling, addicted or side effect reaction, only small par of patients have some under skin bleeding.3．3 The influence on nerve system: most of patients say that during the treatment the quality of sleeping had been improved and without any abnormal spiritual problem.3．4 The influence on digest system: The patients reflect that after the treatment their appetite is lower; did not feel hunger; bowel movement becomes normal without constipation.Conclusion1．The simple obesity is a disease which is very hard to be cured, till now all the treatment is not very safe. Under very well control, the results suggested that the electric acupoints combine with other treatments are not just effect in short-term but also has after effect after 3 months which means it has obvious predominance. 2．There did not have any study regarding the security of the acupuncturing with fatness, throughout 78 patients' treatment, all the patients without showing any abnormal with nerve system or digest system. These means acupuncturing to cure the simple obesity is quite safe, as long as choosing the right points and with skillful person.3．Main points: Zhongwan is stomach's Mu acupoint; Tianshu is large intestine's-Mu acupoint; Daheng is on the spleen Meridian of foot Taiyin, often use to cure constipation ; Yinlingquan is the sea acupoint of the spleen meridian of foot Taiyin; Zusanli is the sea acupoint of the stomach meridian of foot Yangming; the above acupoints combine together can cool down the stomach, improve the spleen function so the water and blood can circulate well then the fatness can be consumed, so the patients can lose weights.Results: electric acupoints combine with other treatments has short-term and long-term effect also it is a safe alive natural therapy, worthy of being generalized in clinic.In the future we should adapt with restricked randonized controlled trials method, one step futher research regarding the electric acupoints combine with other treatments towards the simple obesity both in short-term and long-term, also proceed with the dose-effect relationship, best stimulation parameter on acupuncture for losing weights' research. |
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