摘要
目的 :了解生物反馈放松训练对Ⅱ型糖尿病患者糖代谢的影响 ;方法 :将符合研究标准的患者随机分配入实验组和对照组 ,两组完成实验的有效例数分别为 5 5例和 73例。实验组除常规糖尿病药物治疗外辅以生物反馈放松训练 ,对照组只给以常规治疗。两组均于治疗前、后不同的时间点测定空腹血糖、餐后两小时血糖、糖化血红蛋白、三餐前后 1小时血糖。结果 :经治疗 1个月后两组的空腹血糖、餐后两小时血糖、平均血糖、糖化血红蛋白均有明显的下降 ,实验组的下降幅度及速度高于对照组 ;治疗后实验组的血糖波动明显减小 ,且保持持续下降的趋势 ,对照组无明显变化 ;在追踪期间 ,实验组糖代谢的改善与坚持放松练习与否、放松程度有关。结论 :生物反馈放松训练能改善Ⅱ型糖尿病患者糖代谢 ,有效控制血糖波动 ,坚持放松练习者效果更好。
Objective:To investigate the effect of biofeedback assisted relaxation training on blood glucose metabolism in patients with type Ⅱdiabetes. Methods: The patients were randomized to relaxation training group or control group. The control group (n=73) was treated with conventional therapies. The relaxation training group (n=55) received biofeedback assisted relaxation training in addition to conventional therapies. Serum fasting blood glucose(FBS) and post-prandial two hours blood glucose level(2PBS) Glycosylated hemoglobin(HbA1c) were evaluated at pretreatment and during follow-up. Pre- and post-three-prandial one hour blood glucose were measured before the treatment and at the tenth, twentieth and thirtieth day after treatment. Results: ① All patients demonstrated significant improvement in FBS, 2PBS and the mean of blood glucose at one month after treatment, and the HbA1c at two month after treatment, but the degree of improvement was significantly greater in relaxation training group than in control group. The fluctuating range of blood glucose per day was significantly smaller in the training group. ② There were no group differences during follow-up 8 months in physiological variables. ③ For the group that received relaxation training, the frequency of practice relaxation during follow-up was associated with greater improvement in glucose metabolism. The patients who persisted in practice relaxation demonstrated significant improvement in FBS, 2PBS and HbA1c throughout 8 months, but those who practice relaxation less during follow-up did not show significant improvement in glycemic control. ④ The improvement in glucose metabolism was negatively correlated with extent of relaxation. Conclusion: The biofeedback assisted relaxation training could be a useful adjunctive treatment for reducing blood glucose in the type Ⅱ diabetes. The extent and frequency of relaxation affect the effect of biofeedback assisted relaxation training on glucose metabolism.
出处
《中国临床心理学杂志》
CSCD
2001年第1期5-9,共5页
Chinese Journal of Clinical Psychology
基金
国家自然科学基金!重点项目资助 (项目号 :39430 0 70 )
关键词
Ⅱ型糖尿病
生物反馈
血糖
Type Ⅱ diabetes
Biofeedback
Blood glucose