糖尿病患者实施运动疗法教育指导的效果观察

Clinical effect of educational guidance of movement therapy in diabetic

目的 本文通过对糖尿病患者实施教育。强化其进行有治疗目的的运动锻炼，探讨实施运动教育指导的效果。方法 符合入组条件的100倒住院糖尿病患者，强化运动组50例、对照组50例。对照组患者实施常规糖尿病知识教育，强化运动组除与对照组患者相同实施常规糖尿病知识教育外，增加运动强化教育指导，评价2组患者运动时间、规律运动、运动强度、运动不适、运动前后血糖、血压、体重等的变化。结果 糖尿病患者应以中、低强度的规律运动为主，心率指数达到40％～60％，于餐后30～60min运动，每天坚持2～3次为宜。强化运动组患者经教育、饮食、运动、药物等综舍治疗后，血糖、血压、体重等代谢指标均较对照组有明显改善（P〈0．05）。结论 指导糖尿病患者每日分次、小量、餐后进行中、低强度的规律运动，能有效地降低空腹度餐后血糖、减少运动并发症。

Objective To probe the effect of educational guidance of movement therapy in diabetic, to strengthen movement exercise with therapeutic destination. Methods According to the standards, 100 cases of inpatients were divided into the moving strengthened group and the control group. Patients in the control group were given normal diabetes knowledge education, and in the moving strengthened group, patients were given movement therapeutic guidance except normal education. All indexes, such as movement time, movement rule, exercise intensity, discomfort from movement, changes of blood sugar, blood pressure and body weight before and after movement were evaluated. Results Diabetics should do middle and low intensity exercises, with cardiac index reached 400^～60%. Exercise should be done 30～40 min after meal for 2～3 times a day. After combined therapy with food and drink, movement, medication and education, the blood sugar, blood pressure and body weight of patients were improved obviously in the movement strengthened group, comparing with the control group, P 〈 0.05. Conclusions Middle and low intensity movement after meal for diabetics can decrease postprandial blood sugar and fasting blood sugar, and decrease complications from movement.