八段锦对社区血脂轻度异常的痰湿体质人群脂代谢的影响

目的：探讨八段锦配合健康宣教对社区血脂轻度异常的痰湿体质者脂代谢的影响。方法将符合入选标准的上海市徐汇区枫林街道社区卫生服务中心中医科门诊及社区团队管理居民121人，按随机数字表法分为八段锦组61例、宣教组60例。宣教组居民采用日常健康宣教进行干预，八段锦组在宣教组基础上配合习练八段锦，24周后检测并比较2组受试者的血脂，评价临床疗效。结果受试后，八段锦组血清 TC4.15(2.06,5.08)mmol/L 比5.34(3.18,6.08)mmol/L ， Z＝-2.113]、TG1.55(0.39,1.89)mmol/L 比1.77(0.38,2.07)mmol/L，Z＝-1.289]、LDL-C2.20(0.42,3.52)mmol/L比2.50(0.87,3.69)mmol/L，Z＝-1.237]水平均较宣教组明显降低(P＜0.05)。八段锦组总有效率为91.8%(56/61)，宣教组为76.7%(46/60)，2组比较差异有统计学意义(χ2＝4.155，P＝0.042)。结论八段锦配合健康宣教可明显改善社区痰湿体质人群的脂代谢，降低受试者TC、TG、LDL-C水平。

Clinical observation on lipid metabolism of people with the phlegm dampness constitution by the Eight Section Brocade

Objective To evaluate the effect of Eight Section Brocade on the lipid metabolism of people with mild dyslipidemia and phlegm dampness constitutionin communities.MethodsA total of 121 residents from the maple street community health service center and TCM outpatients in theXuhui district of Shanghai. Residents were randomizedly into intervention group with 61 residents and control group with 60 by the random number table method. Residents of control group received health education intervention daily, while residents of intervention group practiced Eight Section Brocade besides the education, All the residents continued their intervention until the 24thweek, and the index of blood lipid were evaluated.ResultsThe levels of serum TC 4.15 (2.06, 2.06) mmol/Lvs. 5.34 (3.18, 3.18) mmol/L,Z=-2.113; TG 1.55 (0.39, 0.39) mmol/Lvs. 1.77(0.38, 0.38) mmol/L,Z=-1.289; LDL-C 2.20 (0.42, 0.42) mmol/Lvs.2.50 (0.87, 0.87) mmol/L,Z=-1.237 of intervention group were significantly lower than those of the control group (P<0.05). The total effective rate of intervention group was significantly higher than the control group (91.8%vs. 76.7%;χ2=4.155,P=0.042). Conclusion The Eight Section Brocade with health education can significantly improve the community residents of lipid metabolism in Dampness-phlegmconstitution.