Ⅱ型糖尿病患者运动处方的临床设计及干预效应观察

Designment of exercice prescribation for type two diabetics mellitecs(DM) and its intervention effect

目的 :探讨散步式运动处方对Ⅱ型糖尿病患者调控血糖 ,减少并发症 ,降低降糖药物用量 ,缩短住院时间 ,稳定病情等方面的干预效应。方法 :随机将符合Ⅱ型糖尿病诊断标准的 87例分为观察组和对照组 ,观察组 4 4例除药物和控制饮食治疗外 ,增加运动训练 ,对照组 4 3例采用药疗和食疗。结果 :两组在达到较好控制血糖标准的水平上 ,比较住院时间 ,降糖药物用量差异有高度显著性 (P <0 0 1)。随访半年 ,观察组血糖稳定 35例 ,占79 5 % ,再发 7例 ,占 15 9% ,对照组血糖稳定 11例 ,占 2 5 6 % ,再发 2 1例 ,占 4 8 8%。结论 :运用运动处方指导Ⅱ型糖尿病患者进行运动训练可有效降低血糖 ,缩短住院时间 ,降低药物用量 ,减少再发次数 。

Objective:To explore effect of controlling BS for type 2 DM patients by walking exercise.To reduce BS lowering drug dosage,stablize condition and so on.Method:87 cases Type 2 DM patients had been divided into observation group and control.In observation group,exercise had been prescribed besides drug and diet controlment,while control received drug and diet only.Result:There are significant differences in BS controlling level,hospitalized duration drug dosage needed(P<0.01).Stablized BS level occupied 79.5% in observation group for half a year follow up study.In control,only 25.6% with stable BS level,48.8% show recurrence.Conclusion:Exercise prescribe can conduct type 2 DM patients to control BS level,shorten hospitalized duration,lower drug dosage reduce recurrence,improve medication effect.