关键词: 血脂异常, 胆固醇, 穴位按压, 运动疗法, 治疗效果, 老年人

Abstract: Background　Elderly people are at high risk of hypercholesterolemia.Marginally elevated serum cholesterol is a transitional stage from normal cholesterol level to hypercholesterolemia.Active interventions can effectively reduce the incidence of cardiovascular and cerebrovascular diseases in elderly people with marginally elevated serum cholesterol.Objective　To investigate the clinical effect of acupoint acupressure combined with exercise on the marginally elevated serum cholesterol in the elderly.Methods　We recruited 200 elderly health checkup examinees with marginally elevated serum cholesterol from Xuhang Community Health Center from May 2015 to May 2016.By use of the random number table，they were divided into 4 equal groups，the control group，exercise group，acupoint acupressure group，and acupoint acupressure with exercise group，receiving the conventional community-based health management，conventional community-based health management with wuzang yangsheng gymnastics，conventional community-based health management with acupoint acupressure，conventional community-based health management with acupoint acupressure and wuzang yangsheng gymnastics，respectively.The interventions for all groups lasted for 12 months.Treatment compliance and control rate of marginally elevated serum cholesterol were recorded during follow-ups at the end of the 6-month and 12-month interventions，and were compared between the groups.Results　At the end of the 6-month and 12-month interventions，exercise group，acupoint acupressure group，and acupoint acupressure with exercise group showed no significant difference in treatment compliance（P>0.05）．The control rate of marginally elevated serum cholesterol differed significantly across all 4 groups（P<0.05）．More specifically，compared with the control group，other 3 groups showed a higher control rate of marginally elevated serum cholesterol（P<0.05）；acupoint acupressure with exercise group demonstrated a higher control rate of marginally elevated serum cholesterol compared with exercise group and acupoint acupressure group（P<0.05）．Conclusion　Both acupoint acupressure and exercise can effectively reduce the level of serum total cholesterol and lower-density lipoprotein in the elderly，and the intervention effect is even better if the two are used combinedly.The combined intervention is recommended for clinical application and promotion.

Key words: Dyslipidemias, Cholesterol, Acupressure, Exercise therapy, Treatment outcome, Aged