Clinical Research Of Electroacupuncture Combined With Lifestyle Intervention For The Treatment Of Simple Obesity And Hyperuricemia

ObjectiveThe main purpose is to observe the clinical efficacy of electroacupuncture combined with lifestyle intervention for the treatment of simple obesity and hyperuricemia through clinical research.The secondary purpose is to compared with simple lifestyle intervention therapy,discussing the clinical safety and efficacy of electroacupuncture combined with lifestyle intervention for the treatment of simple obesity and hyperuricemia,providing the basis for optimizing clinical treatment of this disease.MethodsIn this study,66 patients with simple obesity and hyperuricemia who visited the acupuncture department of hubei hospital of traditional Chinese medicine from April 2018 to October2019 were selected as the research objects.According to the ratio of 1:1,they were randomly divided into electroacupuncture combined with lifestyle intervention group and simple lifestyle intervention group.The simple lifestyle intervention group received simple lifestyle intervention.It is recommended to optimize the eating habits,dietary structure and cooking methods,so as to allocate nutrition intake in an appropriate proportion,and to avoid eating"Fried,smoked and roasted"processed food,mainly eating low-purine food;At the same time,adhere to more than5 days a week,at least 60 minutes of daily sustained aerobic exercise.The electroacupuncture combined with lifestyle intervention group used electroacupuncture therapy on the basis of treatment in the simple lifestyle intervention group.The acupoints were Zhigou,Zhongwan,Shuifen,Huaroumen,Daimai,Tianshu,Daheng,Zusanli,Fenglong,Sanyinjiao,Yinlingquan.At the same time,adding electroacupuncture on bilateral Tianshu and Daheng with dense wave,and the time of needle retention was 30min,t once every other day,a course of treatment was 1 for 1 month,and the total course of treatment was 3 months.Changes in obesity-related indicators?such as weight,BMI,body fat rate,etc.?and blood uric acid were observed before and after treatment,and adverse reactions occurred in the two groups were recorded.To evaluate the safety and efficacy of electroacupuncture combined with lifestyle intervention in the treatment of this disease.Results1.Completion:During the treatment,there was one dropout subject in the electroacupuncture combined with lifestyle intervention group.There were three dropout subjects in the simple lifestyle intervention group.In the final,there were 32 subjects of the electroacupuncture combined with lifestyle intervention group completed the treatment,and in the simple lifestyle intervention group,30 subjects completed the treatment.2.Comparison of weight changes before and after treatment:The weights of the two groups were both reduced after treatment compared with those before treatment,the differences were statistically significant(P_{the electroacupuncture combined with lifestyle intervention group}<0.01,P_{the simple lifestyle intervention group}<0.05);compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,and the difference was statistically significant?P<0.05?.3.Comparison of BMI changes before and after treatment:The BMI of the two groups both decreased after treatment compared with that before treatment,the differences were statistically significant?all P<0.01?;compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,and the difference was statistically significant?P<0.01?.4.Comparison of F%changes before and after treatment:Compared with that before and after treatment,the difference of the electroacupuncture combined with lifestyle intervention group was statistically significant?P<0.01?;while the difference of simple lifestyle intervention group was not statistically significant?P>0.05?;compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,and the difference was statistically significant?P<0.05?.5.Comparison of WC changes before and after treatment:The waist circumference of the two groups were both significantly reduced after treatment compared with those before treatment,and the differences were statistically significant(P_{the electroacupuncture combined with lifestyle intervention group}<0.01,P_{the simple lifestyle intervention group}<0.05);compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,showing a statistically significant difference?P<0.01?.6.Comparison of VFA changes before and after treatment:The difference of visceral fat area between the two groups after treatment and before treatment was statistically significant in the electroacupuncture combined with lifestyle intervention group?P<0.01?;but not in the simple lifestyle intervention group?P>0.05?;compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,and the difference was statistically significant?P<0.05?.7.Comparison of UA changes before and after treatment:UA of the two groups decreased after treatment compared with that before treatment,and the difference was statistically significant?all P<0.01?;compared with the simple lifestyle intervention group,the electroacupuncture combined with lifestyle intervention group decreased more significantly,with a statistically significant difference?P<0.01?.8.Comparison of effective rate:After 3 courses of treatment,the total effective rate of the electroacupuncture combined with lifestyle intervention group was 90.63%,and that of the simple lifestyle intervention group was 66.67%.The difference was statistically significant?P<0.05?.ConclusionBoth electroacupuncture combined with lifestyle intervention therapy and simple lifestyle intervention therapy have clinical efficacy in simple obesity and hyperuricemia,which can improve the obesity-related indicators and blood uric acid level of patients,and electroacupuncture combined with lifestyle intervention therapy has more advantages.The use of this therapy in the treatment of simple obesity and hyperuricemia can not only achieve a stable and safe weight loss and weight reduction effect,but also improve the fat distribution and adjust the blood uric acid level of patients through overall regulation,which can be further applied in clinical practice.