个体化运动处方对2型糖尿病患者心率变异的影响

Influence of individualized exercises on the abnormal heart rate variability in type-2 diabetes patients

目的观察个体化运动处方对2型糖尿病患者异常心率变异(HRV)的影响。方法纳入研究对象为经24 h动态心电图(DEG)检查诊断有HRV异常的2型糖尿病患者16例,给予每例实施个体化运动处方(有氧运动)治疗,疗程12周。采用以患者为试验对象的自身对照试验方法,治疗前后使用DEG检查HRV变化情况。结果治疗8周、12周时,HRV改善例数增加,HRV频域分析高频功率(HF)值增高,两者与治疗前比较差异均具有统计学意义(P<0.05)。结论个体化运动处方能改善2型糖尿病患者的心率变异异常状态。

Objective To evaluate the influence of individualized exercises on the abnormal heart rate variability （HRV） in type-2 diabetes patients. Methods 24-hour dynamic electrocardiogram （DEG） was used for detec- ting HRV of type-2 diabetes patients before and after the patients taking individualized exercises prescription. Results There were 16 patients were included in this group and completed the 12 weeks individualized exercises prescription （aerebie exercise）. After the therapy from 8 to 12 weeks ,the number of patients whose HRV were improved incresed than that before treatment and DCG analysis showed HF value incresed after treament. There was a significant statistical difference（P 〈 0.05 ）. Conclusion This study indicates that individualized exercises could improve cardiovascular autonomic neuropathy in type-2 diabete patients.