耳穴贴压结合八段锦练习对上海宜川社区血压正常高值居民的影响

Effect of auricular point sticking combined with Baduanjin exercise on residents with normal high blood pressure in Yichuan community in Shanghai

目的:观察耳穴贴压结合八段锦练习对上海宜川社区血压正常高值居民血压监测依从性、血压值和血脂等的影响。方法:将上海市宜川社区卫生服务中心就诊118例正常高值血压者随机分为两组,治疗组有58例,其中男性25例,女性33例,平均年龄(68.90±3.999)岁;对照组有60例,其中男26性例,女性34例,平均年龄(68.45±3.657)岁。对照组给予健康教育,治疗组在常规健康教育的基础上指导患者练习八段锦,同时加用耳穴贴压疗法,观察患者血压监测依从性、血压、体重指数(BMI)、空腹血糖(FPG)及血脂相关指标等。结果:治疗后,治疗组的血压监测依从性明显优于对照组,差异有统计学意义(P <0.01)。治疗后,治疗组收缩压(SBP)低于对照组(P <0.01);两组的舒张压(DBP)均高于治疗前(均P <0.01);两组的DBP差异无统计学意义(P> 0.05)。治疗后,对照组低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)水平高于治疗前(P <0.01);治疗组LDL-C、TG、总胆固醇(TC)水平低于治疗前;高密度脂蛋白胆固醇(HDL-C)高于治疗前较前升高,差异均有统计学意义(均P <0.01)。两组治疗后的FPG均低于治疗前(均P <0.05)。治疗后治疗组的BMI低于对照组(P <0.01)。结论:耳穴贴压结合八段锦练习可明显提高血压监测依从性,降低正常高值血压居民收缩压及BMI值,改善血脂代谢。

Objective:To observe the effect of auricular point sticking combined with Baduanjin exercise on blood pressure monitoring compliance,blood pressure and blood lipid of residents with normal high blood pressure in a community in Shanghai.Methods:One hundred and eighteen patients with normal high blood pressure in Yichuan community health service center in Shanghai were randomly divided into two groups,there were 58 cases in the treatment group,including 25 males and 33 females,with an average age of(68.90±3.999) years;there were 60 cases in the control group,including 26 males and 34 females,with an average age of(68.45±3.657) years.The control group was given health education,the treatment group instructed the patients to practice Baduanjin on the basis of routine health education,and added auricular point sticking therapy at the same time,the compliance of blood pressure monitoring,blood pressure,body mass index(BMI),fasting blood glucose(FPG) and blood lipid of the patients were observed.Results:After treatment,the compliance of blood pressure monitoring in the treatment group was significantly better than that in the control group,and the difference was statistically significant(P<0.01).After treatment,the systolic blood pressure(SBP) in the treatment group was lower than that in the control group(P<0.01);the diastolic blood pressure(DBP) of the two groups was higher than that before treatment(all P<0.01);there was no significant difference in DBP between the two groups(P>0.05).After treatment,The levels of low density lipoprotein cholesterol(LDL-C) and TG in the control group were higher than those before treatment(P<0.01);the levels of LDL-C,TG and TC in the treatment group were lower than those before treatment;high density lipoprotein cholesterol(HDL-C) was higher than that before treatment,and the difference was statistically significant(all P<0.01).The FPG of the two groups after treatment was lower than that before treatment(all P < 0.05).After treatment,the BMI in the treatment group was lower than that in the control group(P<0.01).Conclusion:Auricular point sticking combined with Baduanjin exercise can significantly improve the compliance of blood pressure monitoring,reduce SBP and BMI of residents with normal high blood pressure,and improve blood lipid metabolism.