穴位敷贴对老年糖尿病高脂血症患者脂代谢的影响  

Influence of acupoint application on lipid metabolism in elderly diabetics with hyperlipidemia

作　　者：吴玉泉[1] 周春[1] 赵治友[1] 许娟[1] 禹翔[1] 费明峰[1] 张金彭[1] 

机构地区：[1]解放军第一一七医院老年医学科,浙江省杭州,310013

出　　处：《中国基层医药》2011年第20期2739-2740,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省中医药科学研究基金计划项目（2011ZBl21）

摘　　要：目的观察穴位敷贴疗法对老年糖尿病高脂血症患者脂代谢的影响。方法60例老年糖尿病高脂血症患者随机分成两组。药物组口服他汀或贝特类药物治疗；敷贴组采用穴位敷贴治疗。治疗前后分别检测血清TC、TG、LDL．C、HDL-C、ApoA、ApoB，观察不良反应发生情况。结果两组调脂有效率差异无统计学意义（P〉0．05）；血清TC、TG、LDL．C、ApoB均有显著性下降（均P〈0．01或均P〈0．05）；药物组HDL-C、ApoA较治疗前升高（均P〈0．05），但敷贴组变化不明显（均P〉0．05）。药物组不良反应发生例次明显高于敷贴组（P〈0．05）。结论穴位敷贴治疗老年糖尿病高脂血症患者有一定疗效，可避免药物的不良反应。Objective To observe the clinical effect of acupoint application on lipid metabolism in elderly diabetics with hyperlipidemia. Methods 60 elder diabetics were divided into two groups. In the drugs group,patients were purely treated with simvastatin or lipanthyl. In the acupoint group, patients received acupoint application. The se- rum total cholesterol （ TC ）, triglycefide （ TG）, low-density lipoprotein （ LDL-C）, high-density lipeprotein （ HDL-C ）, ap- oprotein A（APeA） and apoprotein B（ApoB） ere measured respectively. Adverse events were observed. Results The levels of TC,TG,LDL-C,ApoB were significantly declined（ all P 〈 0.01 ～ 0.05 ）. However, the rates of reduce lipid had no significant difference in two groups （ P 〉 0.05 ）. The levels of HDL-C and ApoA were increased in the drugs group, but the homologous levels in the acupoint group showed no significantly change （all P 〉 0.05）. The adverse re- action in the acupoint group was significantly lower than that in the drugs group （ P 〈 0.05 ）. Conclusion Acupoint application could decrease the blood lipid spectrum in the senile diabetics with hyperllpidemia. This therapeutics could reduce adverse drug reactions.

关 键 词：穴位敷贴 糖尿病 高脂血症 老年人 

分 类 号：R246[医药卫生—针灸推拿学]