CAJ | 학술논문

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 hPG）和糖化血红蛋白（HbAlc）。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 hPG和HbAlc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。
목적：평개강화간예가이혈안압대노년당뇨병고위환자적효과。방법병례선택위해시문등성구6개사구당뇨병고위인군공103례，안조수궤수자법분위관찰조52례화대조조51례。관찰조중남27례，녀25례，평균년령（55.2±6.7）세；대조조중남25례，녀26례，평균년령（53.8±5.9）세。관찰조진행강화건강교육가이혈안압，선취이혈（이담、병간화아시혈등)첩압왕불류행자，촉환자매일찬전급수전30 min안압1차，매차1~2 min；대조조진행상규건강교육。1년후，관찰2조환자체질지수（BMI）、요위、총담고순（TC）、삼선감유（TG）、저밀도지단백담고순（LDL-C）、공복혈당（FBG）、찬후2 h혈당（2 hPG）화당화혈홍단백（HbAlc）。채용SPSS13.0통계학연건진행수거분석，량조료효비교채용량조독립양본t검험，자신전후비교채용배대t검험，이P<0.05위차이유통계학의의。결과간예1년후2조환자BMI、요위、TC、TG、LDL-C、FBG、2 hPG화HbAlc비교t치분별위4.38、4.98、19.17、10.46、6.74、10.20、5.18화22.84，균P<0.05，차이유통계학의의。결론강화간예가이혈안압능명현공제체질지수、혈당화혈지수평，종이체도예방화연완당뇨병발생적목적。
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 hPG ) and glycated hemoglobin ( HbAlc ) were compared between two groups after one year treatment. SPSS13.0 statistical software was used for data analysis. The independent samplest test was used to compare the clinical efficacy in two groups. The pairedt 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 hPG and HbAlc 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.