阶段性健康宣教配合运动干预对肥胖型2型糖尿病患者的影响

Effect of staged health education combined with exercise intervention on obese type 2 diabetes mellitus patients

目的探讨阶段性健康宣教配合运动干预对肥胖型2型糖尿病(T2DM)患者血糖管理、体质量指数(BMI)及生活质量的影响效果。方法选取2016年2月至2017年7月我院收治的84例肥胖型T2DM患者为研究对象,随机将其等分为对照组和观察组,对照组给予饮食指导、血糖控制等常规护理和运动干预,观察组在对照组基础上给予阶段性健康宣教。比较两组患者干预后6个月空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、三酰甘油(TG)、总胆固醇(TC)、高密度蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、体质量、BMI、腰臀比(WHR)、血清抵抗素水平、生活质量(A-DQOL)、血糖波动情况。结果两组患者干预6个月后,糖代谢指标(FBC,2hPG,HbA1c)优于干预前且观察组变化大于对照组(P <0. 05);两组患者干预后6个月脂代谢指标(TG,TC,LDL-C,HDL-C)评分优于干预前且观察组变化大于对照组(P <0. 05);体质量相关指标(体质量,BMI,WHR),血清抵抗素水平,A-DQOL评分优于干预前且观察组优于对照组(P <0. 05);观察组干预后6个月血糖波动指标(MAGE,LAGE,SDBG水平)也低于对照组(P <0. 05)。结论阶段性健康宣教配合运动干预对肥胖型T2DM患者血糖管理效果显著,可有效改善患者糖代谢和脂代谢状态,减轻患者体质量相关指标和血清抵抗素水平,也可提高患者生活质量,值得临床推广应用。

Objective To investigate the effect of staged health education combined with exercise intervention on blood glucose management,body mass index(BMI)and quality of life in obese type 2 diabetes mellitus(T2DM)patients.Methods To compare the fasting plasma glucose(FPG),2h plasma glucose(2hPG),glycated hemoglobin(HbA1c),triglyceride(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),body mass,BMI,waist-hip ratio(WHR),serum resistin levels,quality of life(A-DQOL)and blood glucose fluctuations within 6 months after intervention,84 cases of obese T2DM patients treated in our hospital from February 2016 to July 2017 were observed,and randomly divided into control group and study group with equal members.The control group was given such routine nursing and exercise intervention as diet guidance and blood glucose control,while the study group was given staged health education on the basis of the control group.Results After 6 months of intervention,the indexes of glucose metabolism(FBC,2hPG,HbA1c)in the two groups were better than those before the intervention and the changes in the study group were more obvious than those in the control group(P<0.05).The score of lipid metabolism index(TG,TC,LDL-C,HDL-C)in two groups was better than that before intervention 6 months after intervention and the changes in the study group were more obvious than those in the control group(P<0.05).The relative indexes of body mas s(body mass,BMI,WHR),serum resistin level,A-DQOL score were better than those before intervention and particularly the study group was superior to the control group(P<0.05).The blood glucose fluctuation index(MAGE,LAGE,SDBG)in the study group was also lower than that in the control group 6 months after intervention(P<0.05).Conclusion The application of staged health education combined with exercise intervention had a significant effect on blood glucose management in obese T2DM patients,which could effectively improve the glucose metabolism and lipid metabolism,reduce the related indexes of body mass and serum resistin level,and also enhance the quality of life of patients.It was worthy of clinical promotion and application.