有氧训练联合耳穴贴压在降低颈动脉粥样硬化患者血糖、血脂水平中的应用

Application of aerobic training combined with auricular point pressing in reducing blood glucose and lipid levels in patients with carotid atherosclerosis

目的探讨有氧训练联合耳穴贴压改善颈动脉粥样硬化患者血糖、血脂水平的效果。方法选取2017年1~12月在该院确诊为动脉粥样硬化患者200例,根据随机数字表将患者分为观察组和对照组,各100例。对照组确诊后行日常生活指导,观察组在对照组基础实施有氧训练联合耳穴贴压,干预时间为6个月,比较两组患者干预前后颈动脉内膜中层厚度(IMT)、体质量(BMI)、腰臀比(WHR)、血糖、血脂水平。结果观察组患者干预后IMT、BMI、WHR水平均明显低于对照组,差异有统计学意义(均P<0.05)。观察组干预后空腹血糖(FPG)、餐后2 h血糖(2hFPG)、糖化血红蛋白(HBA1c)、血清总胆固醇(TC)、甘油三脂(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平均明显低于对照组,差异有统计学意义(均P<0.05)。观察组随访1年中冠心病、脑卒中发生率均明显低于对照组,差异有统计学意义(均P<0.05)。结论有氧训练联合耳穴贴压能有效控制动脉粥样硬化患者血糖、血脂水平,能有效预防心脑血管疾病的发生。

Objective To explore the effect of aerobic training combined with auricular acupoint pressing on improving blood glucose and lipid levels in patients with carotid atherosclerosis.Methods A total of 200 patients diagnosed with atherosclerosis in the hospital from January to December 2017 were selected.According to the random number table,the patients were divided into observation group and control group,with 100 patients each.The control group received daily life guidance after diagnosis,and the observation group received aerobic training combined with auricular point pressing on the basis of the control group.The intervention time was 6 months.Carotid intima-media thickness(IMT),body mass(BMI),waist-to-hip ratio(WHR),blood glucose and lipid levels were compared between the two groups before and after intervention.Results After intervention,IMT,BMI and WHR levels in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The levels of fasting blood glucose(FPG),2 hours postprandial blood glucose(2hFPG),Hemoglobin A1c(HBA1c),total serum cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)in the observation group were significantly lower than those in the control group after intervention,with statistically significant differences(P<0.05).The incidence of coronary heart disease and stroke in the observation group was significantly lower than that in the control group during the 1-year follow-up,and the differences were statistically significant(P<0.05).Conclusions Aerobic training combined with auricular acupoint pressing can effectively control the blood glucose and blood lipid levels in patients with atherosclerosis,and effectively prevent the occurrence of cardiovascular and cerebrovascular diseases.