Objective To evaluate the effectiveness and safety of electroacupuncture treatment,the clinical efficacy of electroacupuncture in the treatment of abdominal obesity patients with stomach heat and dampness resistance type was observed by randomized controlled clinical trials.Methods 74 patients with stomach heat and dampness resistance type abdominal obesity recruited by Shanghai Traditional Chinese Medicine Hospital were randomly assigned to the electroacupuncture group and the control group(1∶1,37 patients in each group).The electroacupuncture group selected acupoints such as Zhongwan,Jianli,Xiawan,Bilateral Quchi,Hegu,Liangmen,Tianshu,Shuidao,Zusanli,Shangjuxu,Neiting,etc.After the needle was inserted,the patient was given Qi by using techniques such as lifting,inserting,twisting,and turning.The bilateral Liangmen and Tianshu transverse acupoints were selected to connect the electroacupuncture,and a continuous wave of 3 Hz was selected,with the intensity determined based on the patient's tolerance.The needle was left for 30 min.The control group received Streitberger comfort sham acupuncture at the same acupoint,and the flat headed needle was struck through a cannula without piercing the skin.The electroacupuncture device was connected to the same acupoint but not electrified.Both groups of patients received treatment three times a week for 30 min each time,a total of 36 times.The main outcome measure was waist to hip ratio.The secondary outcome measures were weight,blood lipids,and the impact of weight on quality of life scale(IWQOL-Lite)and food desire trait questionnaire(FCQ-T).Each indicator was recorded before and after treatment in both groups.Simultaneously record all medication usage during the treatment period and monitor adverse reactions.Results After treatment,the waist hip ratio and average weight of patients in the electroacupuncture group decreased significantly(P＜0.05).The levels of triglycerides and cholesterol decreased,and the scores of IWQOL-Lite and FCQ-T decreased,but there was no statistically significant difference before and after treatment.Compared with the control group,the waist hip ratio of patients in the electroacupuncture group was lower after treatment(P＜0.05).Conclusion Electroacupuncture can effectively improve abdominal obesity caused by stomach heat and dampness resistance,and is superior to sham acupuncture in reducing the waist hip ratio.

Objective To evaluate the effectiveness and safety of electroacupuncture treatment,the clinical efficacy of electroacupuncture in the treatment of abdominal obesity patients with stomach heat and dampness resistance type was observed by randomized controlled clinical trials.Methods 74 patients with stomach heat and dampness resistance type abdominal obesity recruited by Shanghai Traditional Chinese Medicine Hospital were randomly assigned to the electroacupuncture group and the control group(1∶1,37 patients in each group).The electroacupuncture group selected acupoints such as Zhongwan,Jianli,Xiawan,Bilateral Quchi,Hegu,Liangmen,Tianshu,Shuidao,Zusanli,Shangjuxu,Neiting,etc.After the needle was inserted,the patient was given Qi by using techniques such as lifting,inserting,twisting,and turning.The bilateral Liangmen and Tianshu transverse acupoints were selected to connect the electroacupuncture,and a continuous wave of 3 Hz was selected,with the intensity determined based on the patient's tolerance.The needle was left for 30 min.The control group received Streitberger comfort sham acupuncture at the same acupoint,and the flat headed needle was struck through a cannula without piercing the skin.The electroacupuncture device was connected to the same acupoint but not electrified.Both groups of patients received treatment three times a week for 30 min each time,a total of 36 times.The main outcome measure was waist to hip ratio.The secondary outcome measures were weight,blood lipids,and the impact of weight on quality of life scale(IWQOL-Lite)and food desire trait questionnaire(FCQ-T).Each indicator was recorded before and after treatment in both groups.Simultaneously record all medication usage during the treatment period and monitor adverse reactions.Results After treatment,the waist hip ratio and average weight of patients in the electroacupuncture group decreased significantly(P＜0.05).The levels of triglycerides and cholesterol decreased,and the scores of IWQOL-Lite and FCQ-T decreased,but there was no statistically significant difference before and after treatment.Compared with the control group,the waist hip ratio of patients in the electroacupuncture group was lower after treatment(P＜0.05).Conclusion Electroacupuncture can effectively improve abdominal obesity caused by stomach heat and dampness resistance,and is superior to sham acupuncture in reducing the waist hip ratio.

Objective To evaluate the usefulness of speckle tracking imaging(STI) for assessment of left ventricular(LV) and right ventricular (RV) functions in patients with isolated disease of right coronary artery.Methods 45 cases were diagnosed as single right coronary lesions given echocardiography,30 cases had chest pain but coronary angiography had not seen the obvious narrow as a comparison.The twodimensional loop-cinec were obtained in apical 4-chamber view,apical 2-chamber view and long axis of LV view.Eighteen segments of LV longitudinal peak systolic strain,global peak systolic strain of each view and three segments of RV free wall were measured by two-dimensional strain software.Results In the patients who had right coronary lesions but did not happen myocardial infarction,the strain(S) values in the base,mid and apex segmental of LV post wall,the base and mid segmental of LV inferior wall and the base and mid segmental of LV septum were significantly lower( P ＜0.05).The S values in the mid segment of RV free wall was lower( P ＜0.05).In the patients who had right coronary lesions and myocardial infarction,the S values in the base,mid segmental of LV antsept,the apex segmental of LV anterior wall,the base,mid and apex segmental of LV post wall,the base and mid segmental of LV inferior wall and the base and mid segmental of LV septum were significantly lower( P ＜0.05).The S values in the mid and apex segments of RV free wall were lower ( P ＜0.05).And the LV global longitudinal strains were lower in the two groups (P ＜0.05).Conclusions STI is a new and useful technology for assessment ventricular functions in patients with isolated disease of right coronary artery,and there are multiple segments impaired.

ObjectiveTo evaluate the usefulness of speckle tracking imaging(STI) for assessment of systemic right ventricle (RV) function in patients with acute inferior myocardial infarction(MI) and the changes 7 days after percutaneous coronary interventions(PCI).MethodsTwo-dimensional imaging at the four chamber view was obtained with tracing of the entire RV endocardial border in 44 patients with acute inferior MI and 50 healthy volunteers.Peak longitudinal systolic strain and strain rate (S,SR)in six RV segment included the basal,mid,and apical segments of the RV free wall and septum.And thirty patients reexamined 7 days after PCI.ResultsThe S values in the base and mid segmental of RV free wall and all segments of right septum were significantly lower in patients with acute inferior MI( P ＜0.05).But the SR values only decreased in mid segment of right septum.Except the apical parts of RV free wall and right septum,the S values of others segmental were significantly improved( P ＜0.05) 7 days after PCI.But the SR values had no changes( P ＞0.05).ConclusionsSTI is a new and useful technology for assessment of RV function in acute inferior MI and the RV function can be improved by emergency PCI.