马璐, 张爱华, 李军, 曾奇兵, 王大朋, 陈雄, 王洪梅, 陈志. 温泉泡浴对人群血脂升高的改善作用[J]. 上海预防医学, 2021, 33(S1): 27-32. DOI: 10.19428/j.cnki.sjpm.2021.21176
引用本文: 马璐, 张爱华, 李军, 曾奇兵, 王大朋, 陈雄, 王洪梅, 陈志. 温泉泡浴对人群血脂升高的改善作用[J]. 上海预防医学, 2021, 33(S1): 27-32. DOI: 10.19428/j.cnki.sjpm.2021.21176
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MA Lu, ZHANG Ai-hua, LI Jun, ZENG Qi-bing, WANG Da-peng, CHEN Xiong, WANG Hong-mei, CHEN Zhi. Ameliorative effect of hot spring bathing on the elevation of blood lipid in population[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 27-32. DOI: 10.19428/j.cnki.sjpm.2021.21176
Citation: MA Lu, ZHANG Ai-hua, LI Jun, ZENG Qi-bing, WANG Da-peng, CHEN Xiong, WANG Hong-mei, CHEN Zhi. Ameliorative effect of hot spring bathing on the elevation of blood lipid in population[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 27-32. DOI: 10.19428/j.cnki.sjpm.2021.21176
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温泉泡浴对人群血脂升高的改善作用

Ameliorative effect of hot spring bathing on the elevation of blood lipid in population

    摘要
  • 摘要:
    目的探讨贵州省典型温泉泡浴对人群血脂升高的改善作用，为深入了解温泉的理疗功效提供科学依据。
    方法在贵州省3种主要温泉类型(温度型、温矿泉型、偏硅酸型)的典型温泉点开展研究，选取温泉点所在地区符合纳入与排除标准的189例血脂升高居民作为观察对象，进行4周温泉泡浴，每天1次，每周5次，每次40~50 min。采用问卷调查获得观察对象年龄、性别等一般情况; 全自动生化分析仪检测泡浴前后血脂指标，即血清总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)及高密度脂蛋白胆固醇(HDL-C)水平; 比较3类温泉泡浴对观察对象血脂升高好转率、各异常血脂指标水平及好转率影响的差异。
    结果温度型、温矿泉型、偏硅酸型温泉泡浴后观察对象血脂升高好转率分别为15.6%、40.4%、47.9%，温矿泉型和偏硅酸型温泉泡浴后好转率显著高于温度型温泉(均P < 0.05);与泡浴前比较，3类温泉泡浴均可显著降低血清TC、TG、LDL-C及非高密度脂蛋白胆固醇(non-HDL-C)水平，其中温矿泉型和偏硅酸型温泉泡浴后血清TG水平的降低程度及TG异常的好转率均显著高于温度型温泉，偏硅酸型温泉泡浴后血清LDL-C的降低程度及LDL-C异常的好转率显著高于温度型和温矿泉型温泉(均P < 0.05)。
    结论贵州省3种类型温泉泡浴对血脂升高均有一定改善作用，但相较于温度型温泉，温矿泉型和偏硅酸型温泉可能因其对TG、LDL-C的异常升高有更显著的降低作用而发挥相对更好的调脂功效。

     

    Abstract:
    ObjectiveTo explore the effect of typical hot spring bathing of Guizhou Province on dyslipidemia, which could provide scientific basis for clarifying the physiotherapy effect of hot springs.
    MethodsThe typical hot spring sites of three main types(hydrothermal hot spring, warm mineral hot spring and metasilicate hot spring)in Guizhou Province were selected as investigation sites. 189 residents with hyperlipidemia near the investigation sites were selected as subjects and were treated with hot spring baths for 4 weeks, once a day, 5 times a week and 40-50 minutes each time. The age and gender distribution of the subjects were obtained by a questionnaire. The levels of TC, TG, LDL-C and HDL-C in serum were measured by automatic biochemical analyzer at baseline and at the end of hot spring baths. The differences of the three kinds of hot spring baths on improvement rate of dyslipidemia, the changes of abnormal blood lipid indexes and their improvement rates were compared.
    ResultsAfter baths of hydrothermal hot springs, warm mineral hot springs and metasilicate hot springs, the improvement rates of abnormally elevated lipids were 15.6%, 40.4% and 47.9%, respectively. The improvement rates of abnormally elevated lipids after baths of warm mineral hot springs and metasilicate hot springs were significantly higher than that after hydrothermal spring baths(all P < 0.05). Compared with before hot spring bathing, the levels of TC, TG, LDL-C and non-HDL-C in serum significantly decreased in all three kinds of hot springs. Moreover, the degree of decrease of TG in serum and the improvement rate of abnormal TG after baths of warm mineral spring and metasilicate hot spring were significantly higher than that after hydrothermal spring baths. The degree of decrease of LDL-C in serum and the improvement rate of abnormal LDL-C after baths of metasilicate hot spring were significantly higher than that after baths of hydrothermal spring and warm mineral spring(all P < 0.05).
    ConclusionThe three types of typical hot spring baths in Guizhou Province can mitigate the elevation of blood lipid. Compared with hydrothermal spring, warm mineral spring and metasilicate hot spring may have better improvement effect on blood lipid elevation due to their more significant improvement effect on abnormal elevation of TG and LDL-C in serum.

     

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