干预治疗加耳穴按压对糖尿病高危人群研究  

Study on intervention treatment with auricular acupressure in people at high risk for diabetes

作　　者：贾荣娟[1] 李惠云[2] 于向英[3] 于志红[4] 高丽红[5] 

机构地区：[1]威海市文登中心医院门诊部,264400 [2]威海市文登中心医院药学部,264400 [3]威海市文登中心医院手术室,264400 [4]威海市文登中心医院高压氧科,264400 [5]威海市立医院肝胆外科,264200

出　　处：《中华针灸电子杂志》2015年第3期12-16,共5页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

基　　金：威海市科技局计划项目(2012GNS044-09)

摘　　要：目的评价强化干预加耳穴按压对老年糖尿病高危患者的效果。方法病例选择威海市文登城区6个社区糖尿病高危人群共103例,按照随机数字法分为观察组52例和对照组51例。观察组中男27例,女25例,平均年龄（55.2±6.7）岁;对照组中男25例,女26例,平均年龄（53.8±5.9）岁。观察组进行强化健康教育加耳穴按压,选取耳穴（胰胆、屏间和阿是穴等）贴压王不留行籽,嘱患者每日餐前及睡前30 min按压1次,每次1～2 min;对照组进行常规健康教育。1年后,观察2组患者体质指数（BMI）、腰围、总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、空腹血糖（FBG）、餐后2 h血糖（2 h PG）和糖化血红蛋白（Hb Alc）。采用SPSS13.0统计学软件进行数据分析,两组疗效比较采用两组独立样本t检验,自身前后比较采用配对t检验,以P〈0.05为差异有统计学意义。结果干预1年后2组患者BMI、腰围、TC、TG、LDL-C、FBG、2 h PG和Hb Alc比较t值分别为4.38、4.98、19.17、10.46、6.74、10.20、5.18和22.84,均P〈0.05,差异有统计学意义。结论强化干预加耳穴按压能明显控制体质指数、血糖和血脂水平,从而达到预防和延缓糖尿病发生的目的。Objective To evaluate the clinical efficacy of intervention treatment with auricular acupressure in elderly patients at high risk for diabetes. Methods A total of 103 patients at high risk of diabetes were selected from six communities of Weihai Wendeng city. Patients were randomly divided into two groups, observation group（ n=52） and control group（ n=51）. There were 27 male patients and 25 female patients in observation group, with mean age（ 55.2±6.7） years. The mean age of was（ 53.8±5.9） years, and there were 25 male patients and 26 female patients in control group. The observation group was given the intensive health education combined with auricular acupressure（pancreas, gallbladder, between screen and Ashi, sticking vaccaria seed）. Patients of observation group were given the intensive health education and were asked to press auricular points 30 minutes before meals and before going to bed for 1～2 min. Patients were given the intensive health education in control group. Data of body mass index（ BMI）, waist circumference, total cholesterol（ TC）, triglyceride（ TG）, low density lipoprotein cholesterol（ LDL-C）, fasting blood glucose（ FBG）, postprandial 2 h glucose（ 2 h PG） and glycated hemoglobin（ Hb Alc） were compared between two groups after one year treatment. SPSS13.0 statistical software was used for data analysis. The independent samples t test was used to compare the clinical efficacy in two groups. The paired t test was used for data before and after treatment. P〈0.05 was considered statistically significant. Results There were significant differences in BMI, waist circumference, TC, TG, LDL-C, FBG, 2 h PG and Hb Alc between two groups after intervention（ t=4.38, 4.98, 19.18, 10.46, 6.74, 10.20, 5.18 and 22.84, P〈0.05, respectively）. Conclusion The intervention treatment with auricular acupressure can significantly control BMI, blood glucose and lipid levels, so as to prevent and delay the occurrence of diabetes mellitus in elderly people.

关 键 词：穴位按压 研究 强化干预 

分 类 号：R246.1[医药卫生—针灸推拿学]