体穴按压联合运动干预对老年人血清胆固醇边缘性升高的干预效果研究
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摘要
背景老年人是高胆固醇血症的高发人群,血清胆固醇边缘性升高是发展至高胆固醇血症的过渡阶段,对血清胆固醇边缘性升高老年人进行积极干预可有效降低其心脑血管疾病发生率。目的探讨体穴按压联合运动干预对老年人血清胆固醇边缘性升高的干预效果。方法选取2015年5月—2016年5月在徐行镇社区卫生服务中心接受体检的血清胆固醇边缘性升高老年人200例,采用随机数字表法将其分为4组,每组50例。对照组仅接受社区常规管理,运动组在常规管理基础上进行五脏养生操运动,穴位组在常规管理基础上进行穴位按压,联合组在常规管理基础上进行穴位按压联合五脏养生操运动,4组均持续干预12个月。比较4组随访6个月后和12个月后的干预依从性、血清胆固醇边缘性升高控制率。结果随访6个月后和12个月后,运动组、穴位组、联合组的干预依从性无差异(P>0.05)。随访6个月后和12个月后,4组血清胆固醇边缘性升高有效控制率存在差异(P<0.05);其中运动组、穴位组、联合组的控制率高于对照组,联合组的控制率高于运动组、穴位组(P<0.05)。结论穴位按压、运动干预均能有效降低老年人的血清总胆固醇和低密度脂蛋白胆固醇水平,二者联合干预效果更佳,建议在临床上推广应用。
Background Elderly people are at high risk of hypercholesterolemia.Marginally elevated serum cholesterol is a transitional stage from normal cholesterol level to hypercholesterolemia.Active interventions can effectively reduce the incidence of cardiovascular and cerebrovascular diseases in elderly people with marginally elevated serum cholesterol.Objective To investigate the clinical effect of acupoint acupressure combined with exercise on the marginally elevated serum cholesterol in the elderly.Methods We recruited 200 elderly health checkup examinees with marginally elevated serum cholesterol from Xuhang Community Health Center from May 2015 to May 2016.By use of the random number table,they were divided into 4 equal groups,the control group,exercise group,acupoint acupressure group,and acupoint acupressure with exercise group,receiving the conventional community-based health management,conventional community-based health management with wuzang yangsheng gymnastics,conventional community-based health management with acupoint acupressure,conventional community-based health management with acupoint acupressure and wuzang yangsheng gymnastics,respectively.The interventions for all groups lasted for 12 months.Treatment compliance and control rate of marginally elevated serum cholesterol were recorded during follow-ups at the end of the 6-month and 12-month interventions,and were compared between the groups.Results At the end of the 6-month and 12-month interventions,exercise group,acupoint acupressure group,and acupoint acupressure with exercise group showed no significant difference in treatment compliance(P>0.05).The control rate of marginally elevated serum cholesterol differed significantly across all 4 groups(P<0.05).More specifically,compared with the control group,other 3 groups showed a higher control rate of marginally elevated serum cholesterol(P<0.05);acupoint acupressure with exercise group demonstrated a higher control rate of marginally elevated serum cholesterol compared with exercise group and acupoint acupressure group(P<0.05).Conclusion Both acupoint acupressure and exercise can effectively reduce the level of serum total cholesterol and lower-density lipoprotein in the elderly,and the intervention effect is even better if the two are used combinedly.The combined intervention is recommended for clinical application and promotion.
Background Elderly people are at high risk of hypercholesterolemia.Marginally elevated serum cholesterol is a transitional stage from normal cholesterol level to hypercholesterolemia.Active interventions can effectively reduce the incidence of cardiovascular and cerebrovascular diseases in elderly people with marginally elevated serum cholesterol.Objective To investigate the clinical effect of acupoint acupressure combined with exercise on the marginally elevated serum cholesterol in the elderly.Methods We recruited 200 elderly health checkup examinees with marginally elevated serum cholesterol from Xuhang Community Health Center from May 2015 to May 2016.By use of the random number table,they were divided into 4 equal groups,the control group,exercise group,acupoint acupressure group,and acupoint acupressure with exercise group,receiving the conventional community-based health management,conventional community-based health management with wuzang yangsheng gymnastics,conventional community-based health management with acupoint acupressure,conventional community-based health management with acupoint acupressure and wuzang yangsheng gymnastics,respectively.The interventions for all groups lasted for 12 months.Treatment compliance and control rate of marginally elevated serum cholesterol were recorded during follow-ups at the end of the 6-month and 12-month interventions,and were compared between the groups.Results At the end of the 6-month and 12-month interventions,exercise group,acupoint acupressure group,and acupoint acupressure with exercise group showed no significant difference in treatment compliance(P>0.05).The control rate of marginally elevated serum cholesterol differed significantly across all 4 groups(P<0.05).More specifically,compared with the control group,other 3 groups showed a higher control rate of marginally elevated serum cholesterol(P<0.05);acupoint acupressure with exercise group demonstrated a higher control rate of marginally elevated serum cholesterol compared with exercise group and acupoint acupressure group(P<0.05).Conclusion Both acupoint acupressure and exercise can effectively reduce the level of serum total cholesterol and lower-density lipoprotein in the elderly,and the intervention effect is even better if the two are used combinedly.The combined intervention is recommended for clinical application and promotion.
引文
[1]苏畅,贾小芳,王志宏,等.我国成年居民膳食胆固醇摄入量与血清总胆固醇水平关系的研究[J].中国医师杂志,2015,36(2):842-845.DOI:10.3760/cma.j.issn.0254-6450.2015.08.016.SU C,JIA X F,WANG Z H,et al.Study on the relationships between dietary cholesterol and serum cholesterol among Chinese adults[J].Journal of Chinese Physician,2015,36(2):842-845.DOI:10.3760/cma.j.issn.0254-6450.2015.08.016.
[2]孟志刚,王蔚华,李茂蓉.老年COPD患者血清学和肾功能指标分析[J].医学综述,2016,22(16):3286-3288.DOI:10.3969/j.issn.1006-2084.2016.16.048.MENG Z G,WANG W H,LI M R.Analysis of serum and renal function indexes in aged patients with chronic obstructive pulmonary disease[J].Medical Review,2016,22(16):3286-3288.DOI:10.3969/j.issn.1006-2084.2016.16.048.
[3]宋鹏坤,李红,贾珊珊,等.2010-2012年中国城市成年居民血清总胆固醇状况[J].中华预防医学杂志,2016,50(3):208-212.DOI:10.3760/cma.j.issn.0253-9624.2016.03.003.SONG P K,LI H,JIA S S,et al.Serum total cholesterol status among urban residents aged 18 and above in China from 2010 to2012[J].Chinese Journal of Preventive Medicine,2016,50(3):208-212.DOI:10.3760/cma.j.issn.0253-9624.2016.03.003.
[4]华键,杨文平,魏永越,等.血生化指标与老年人帕金森病患病风险的相关性研究[J].中华老年医学杂志,2016,35(3):270-273.DOI:10.3760/cma.j.issn.0254-9026.2016.03.012.HUA J,YANG W P,WEI Y Y,et al.Investigation of the correlation between serum biochemical parameters and Parkinson's disease risk in the elderly[J].Chinese Journal of Geriatrics,2016,35(3):270-273.DOI:10.3760/cma.j.issn.0254-9026.2016.03.012.
[5]许海燕,顼志敏,陆宗良.中国成人血脂异常防治指南(2007)概要与解读[J].中华老年心脑血管病杂志,2008,10(3):238-240.DOI:10.3969/j.issn.1009-0126.2008.03.029.XU H Y,XU Z M,LU Z L.Outline and interpretation of guidelines for prevention and treatment of dyslipidemia in adults in China(2007)[J].Chinese Journal of Cardiovascular and Cerebrovascular Diseases,2008,10(3):238-240.DOI:10.3969/j.issn.1009-0126.2008.03.029.
[6]刘湘华,张瑶,唐铭翔.老年冠心病的影响因素研究[J].实用心脑肺血管病杂志,2016,24(10):27-29.DOI:10.3969/j.issn.1008-5971.2016.10.008.LIU X H,ZHANG Y,TANG M X.Influencing factors of coronary artery disease in the aged[J].Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease,2016,24(10):27-29.DOI:10.3969/j.issn.1008-5971.2016.10.008.
[7]张凤芹,胡若梅,柴晓琨,等.老年高脂血症患者血脂水平与营养状况相关性探讨[J].中国临床保健杂志,2016,19(5):498-501.DOI:10.3969/J.issn.1672-6790.2016.05.015.ZHANG F Q,HU R M,CHAI X K,et al.Relationships between blood lipid levels and nutritional status in elderly patients with hyperlipidemia[J].Chinese Journal of Clinical Health,2016,19(5):498-501.DOI:10.3969/J.issn.1672-6790.2016.05.015.
[8]黎汝定.穴位按压对高血压病患者血压及生存质量的影响[J].长春中医药大学学报,2016,32(6):498-501.DOI:10.13463/j.cnki.cczyy.2016.06.036.LI R D.Acupoint pressing on blood pressure and quality of life in patients with hypertension[J].Journal of Changchun University of Traditional Chinese Medicine,2016,32(6):498-501.DOI:10.13463/j.cnki.cczyy.2016.06.036.
[9]任路明,杨光.丰隆穴治疗高脂血症的研究进展[J].国际中医中药杂志,2015,37(5):466-470.REN L M,YANG G.A summary of research on hyperlipemia treated by acupuncturing Fenglong acupoint[J].International Journal of Traditional Chinese Medicine,2015,37(5):466-470.
[10]李金根,徐浩.老年人血脂异常与调脂策略[J].中华老年医学杂志,2016,35(3):232-235.DOI:10.3760/cma.j.issn.0254-9026.2016.03.002.LI J G,XU H.Dyslipidemia in elderly adults and its therapeutic strategies[J].Chinese Journal of Geriatrics,2016,35(3):232-235.DOI:10.3760/cma.j.issn.0254-9026.2016.03.002.
[11]方顺济,李文彦,吕云佳.电针治疗高脂血症45例疗效观察[J].上海医药,2013,34(6):49-50.DOI:10.3969/j.issn.1006-1533.2013.06.018.FANG S J,LI W Y,LYU Y J.Observation of the effect of electro-acupuncture in the treatment of 45 cases of patients with hyperlipidemia[J].Shanghai Medical and Pharmaceutical Journal,2013,34(6):49-50.DOI:10.3969/j.issn.1006-1533.2013.06.018.
[12]蔡翠珠,王磊.养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床观察[J].世界中医药,2016,11(3):430-433.DOI:10.3969/j.issn.1673-7202.2016.03.015.CAI C Z,WANG L.Clinical observation of Yangyin Tongluo Decoction combined with acupoint injection in treatment of Yin deficiency syndrome in cerebral infarction cases[J].World Chinese Medicine,2016,11(3):430-433.DOI:10.3969/j.issn.1673-7202.2016.03.015.
[13]张冠壮.脑出血转化与总胆固醇、低密度脂蛋白及高密度脂蛋白的相关性[J].实用临床医药杂志,2016,20(11):18-20.DOI:10.7619/jcmp.201611006.ZHANG G Z.Correlations between cerebral hemorrhage transformation and total cholesterol,low density lipoprotein and high density lipoprotein[J].Practical Journal of Clinical Medicine,2016,20(11):18-20.DOI:10.7619/jcmp.201611006.
[14]王蕾蕾,刘安楠,曹素艳,等.老年代谢综合征合并脑梗死患者危险因素相关性分析[J].中华老年医学杂志,2016,35(7):702-706.DOI:10.3760/cma.j.issn.0254-9026.2016.07.004.WANG L L,LIU A N,CAO S Y,et al.Correlation analysis of risk factors for atherosclerotic cerebral infarction combined with metabolic syndrome in elderly patients[J].Chinese Journal of Geriatrics,2016,35(7):702-706.DOI:10.3760/cma.j.issn.0254-9026.2016.07.004.
[15]陈万睿,陈婧.太极拳和健身气功八段锦对中老年血脂及生活质量的影响[J].中国老年学杂志,2015,35(19):5612-5613.DOI:10.3969/j.issn.1005-9202.2015.19.114.CHEN W R,CHEN J.Effects of Taijiquan and fitness Qigong Baduanjin on blood lipid and quality of life in middle and old aged[J].Chinese Journal of Gerontology,2015,35(19):5612-5613.DOI:10.3969/j.issn.1005-9202.2015.19.114.
[16]毛立伟,余萍,季鹏,等.有氧联合抗阻运动对冠心病合并2型糖尿病患者影响的观察[J].中国心血管杂志,2016,21(6):442-446.DOI:10.3969/j.issn.1007-5410.2016.06.004.MAO L W,YU P,JI P,et al.Effects of combined aerobic and resistant exercise on coronary heart disease patients with type2 diabetes millitus[J].Chinese Journal of Cardiovascular Medicine,2016,21(6):442-446.DOI:10.3969/j.issn.1007-5410.2016.06.004.
[2]孟志刚,王蔚华,李茂蓉.老年COPD患者血清学和肾功能指标分析[J].医学综述,2016,22(16):3286-3288.DOI:10.3969/j.issn.1006-2084.2016.16.048.MENG Z G,WANG W H,LI M R.Analysis of serum and renal function indexes in aged patients with chronic obstructive pulmonary disease[J].Medical Review,2016,22(16):3286-3288.DOI:10.3969/j.issn.1006-2084.2016.16.048.
[3]宋鹏坤,李红,贾珊珊,等.2010-2012年中国城市成年居民血清总胆固醇状况[J].中华预防医学杂志,2016,50(3):208-212.DOI:10.3760/cma.j.issn.0253-9624.2016.03.003.SONG P K,LI H,JIA S S,et al.Serum total cholesterol status among urban residents aged 18 and above in China from 2010 to2012[J].Chinese Journal of Preventive Medicine,2016,50(3):208-212.DOI:10.3760/cma.j.issn.0253-9624.2016.03.003.
[4]华键,杨文平,魏永越,等.血生化指标与老年人帕金森病患病风险的相关性研究[J].中华老年医学杂志,2016,35(3):270-273.DOI:10.3760/cma.j.issn.0254-9026.2016.03.012.HUA J,YANG W P,WEI Y Y,et al.Investigation of the correlation between serum biochemical parameters and Parkinson's disease risk in the elderly[J].Chinese Journal of Geriatrics,2016,35(3):270-273.DOI:10.3760/cma.j.issn.0254-9026.2016.03.012.
[5]许海燕,顼志敏,陆宗良.中国成人血脂异常防治指南(2007)概要与解读[J].中华老年心脑血管病杂志,2008,10(3):238-240.DOI:10.3969/j.issn.1009-0126.2008.03.029.XU H Y,XU Z M,LU Z L.Outline and interpretation of guidelines for prevention and treatment of dyslipidemia in adults in China(2007)[J].Chinese Journal of Cardiovascular and Cerebrovascular Diseases,2008,10(3):238-240.DOI:10.3969/j.issn.1009-0126.2008.03.029.
[6]刘湘华,张瑶,唐铭翔.老年冠心病的影响因素研究[J].实用心脑肺血管病杂志,2016,24(10):27-29.DOI:10.3969/j.issn.1008-5971.2016.10.008.LIU X H,ZHANG Y,TANG M X.Influencing factors of coronary artery disease in the aged[J].Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease,2016,24(10):27-29.DOI:10.3969/j.issn.1008-5971.2016.10.008.
[7]张凤芹,胡若梅,柴晓琨,等.老年高脂血症患者血脂水平与营养状况相关性探讨[J].中国临床保健杂志,2016,19(5):498-501.DOI:10.3969/J.issn.1672-6790.2016.05.015.ZHANG F Q,HU R M,CHAI X K,et al.Relationships between blood lipid levels and nutritional status in elderly patients with hyperlipidemia[J].Chinese Journal of Clinical Health,2016,19(5):498-501.DOI:10.3969/J.issn.1672-6790.2016.05.015.
[8]黎汝定.穴位按压对高血压病患者血压及生存质量的影响[J].长春中医药大学学报,2016,32(6):498-501.DOI:10.13463/j.cnki.cczyy.2016.06.036.LI R D.Acupoint pressing on blood pressure and quality of life in patients with hypertension[J].Journal of Changchun University of Traditional Chinese Medicine,2016,32(6):498-501.DOI:10.13463/j.cnki.cczyy.2016.06.036.
[9]任路明,杨光.丰隆穴治疗高脂血症的研究进展[J].国际中医中药杂志,2015,37(5):466-470.REN L M,YANG G.A summary of research on hyperlipemia treated by acupuncturing Fenglong acupoint[J].International Journal of Traditional Chinese Medicine,2015,37(5):466-470.
[10]李金根,徐浩.老年人血脂异常与调脂策略[J].中华老年医学杂志,2016,35(3):232-235.DOI:10.3760/cma.j.issn.0254-9026.2016.03.002.LI J G,XU H.Dyslipidemia in elderly adults and its therapeutic strategies[J].Chinese Journal of Geriatrics,2016,35(3):232-235.DOI:10.3760/cma.j.issn.0254-9026.2016.03.002.
[11]方顺济,李文彦,吕云佳.电针治疗高脂血症45例疗效观察[J].上海医药,2013,34(6):49-50.DOI:10.3969/j.issn.1006-1533.2013.06.018.FANG S J,LI W Y,LYU Y J.Observation of the effect of electro-acupuncture in the treatment of 45 cases of patients with hyperlipidemia[J].Shanghai Medical and Pharmaceutical Journal,2013,34(6):49-50.DOI:10.3969/j.issn.1006-1533.2013.06.018.
[12]蔡翠珠,王磊.养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床观察[J].世界中医药,2016,11(3):430-433.DOI:10.3969/j.issn.1673-7202.2016.03.015.CAI C Z,WANG L.Clinical observation of Yangyin Tongluo Decoction combined with acupoint injection in treatment of Yin deficiency syndrome in cerebral infarction cases[J].World Chinese Medicine,2016,11(3):430-433.DOI:10.3969/j.issn.1673-7202.2016.03.015.
[13]张冠壮.脑出血转化与总胆固醇、低密度脂蛋白及高密度脂蛋白的相关性[J].实用临床医药杂志,2016,20(11):18-20.DOI:10.7619/jcmp.201611006.ZHANG G Z.Correlations between cerebral hemorrhage transformation and total cholesterol,low density lipoprotein and high density lipoprotein[J].Practical Journal of Clinical Medicine,2016,20(11):18-20.DOI:10.7619/jcmp.201611006.
[14]王蕾蕾,刘安楠,曹素艳,等.老年代谢综合征合并脑梗死患者危险因素相关性分析[J].中华老年医学杂志,2016,35(7):702-706.DOI:10.3760/cma.j.issn.0254-9026.2016.07.004.WANG L L,LIU A N,CAO S Y,et al.Correlation analysis of risk factors for atherosclerotic cerebral infarction combined with metabolic syndrome in elderly patients[J].Chinese Journal of Geriatrics,2016,35(7):702-706.DOI:10.3760/cma.j.issn.0254-9026.2016.07.004.
[15]陈万睿,陈婧.太极拳和健身气功八段锦对中老年血脂及生活质量的影响[J].中国老年学杂志,2015,35(19):5612-5613.DOI:10.3969/j.issn.1005-9202.2015.19.114.CHEN W R,CHEN J.Effects of Taijiquan and fitness Qigong Baduanjin on blood lipid and quality of life in middle and old aged[J].Chinese Journal of Gerontology,2015,35(19):5612-5613.DOI:10.3969/j.issn.1005-9202.2015.19.114.
[16]毛立伟,余萍,季鹏,等.有氧联合抗阻运动对冠心病合并2型糖尿病患者影响的观察[J].中国心血管杂志,2016,21(6):442-446.DOI:10.3969/j.issn.1007-5410.2016.06.004.MAO L W,YU P,JI P,et al.Effects of combined aerobic and resistant exercise on coronary heart disease patients with type2 diabetes millitus[J].Chinese Journal of Cardiovascular Medicine,2016,21(6):442-446.DOI:10.3969/j.issn.1007-5410.2016.06.004.