医疗步行对Ⅱ型糖尿病的治疗作用

Treated Effect of Medical Walking on Type 2 Diabetic Patients

目的：探讨长期定量运动对糖尿病患者的作用和运动强度对疗效的影响。方法：在没有药物干预下，选取２４例轻症非胰岛素依赖型糖尿病（ＮＩＤＤＭ）患者，分成中、小强度运动组，运动前仅予饮食控制，然后在原来饮食情况的基础上施以医疗步行３个月，各项治疗指标进行运动前后自身对照。结果：运动前两组之间各项指标无明显差异；运动后两组的空腹血糖ＦＢＧ、餐后２ｈ血糖ＢＧ２、果糖胺ＦＲＡ、甘油三酯ＴＧ、体重指数ＢＭＩ分别较该组运动前下降（Ｐ＜０．０５或０．０１），而两组之间相比差异不显著。结论：饮食控制并运动的疗效明显优于单纯饮食控制，对于轻症ＮＩＤＤ患者来说可望仅通过前者而达到较满意的疗效。强调适当的体疗负荷量在实施运动疗法中的重要性。

Objective:To explore the effect of quantiativelocomotion for a long time on diabetic patients and the influence ofmotor intensity on treated effect.Methods:24 cases of type 2 diabeticpatients in the moderate subgroups were divided into two intensitylocomotion groups (middle and little),then medical walking had beengiven for three months based on the food condition locomotion ago,without medicinal treatment.All parameters were compared with itselvesbefore and after locomotion.Results:Before locomotion,no difference inal parameters between both groups was significant.After locomotion,theparameters in both groups as FBG,BG2,FRA,TG and BMI were decreased byitselves as compared with those before locomotion(P<0.05),withoutsignificant difference between both groups.Conclusion:The treatedeffects in food controlment combined locomotion were obviously betterthan in single food controlment.It was feasible that the fairlystaisfying effect could be gotten only treated with the foumer methodin type 2 diabetic patiens in the moderate subgroups. it was emphasizedthat the proper amount of exercise was inportant in carrying out motortherapy.