运动疗法对社区2型糖尿病合并高血压患者的临床疗效影响

The Clinic Effect of Cinesiotherapy on Patients With Type 2 Diabetes and Hypertension in Community

目的探讨运动疗法对2型糖尿病合并高血压患者糖脂代谢和血压的影响。方法 94例2型糖尿病合并高血压患者随机分对照组和观察组,每组47例,患者均予个体化药物治疗,观察组再予运动疗法。比较两组患者干预半年后的血糖和血压变化,全自动分析仪检测和比较患者的空腹血糖、胰岛素、糖化血红蛋白(Hc A1b)、甘油三酯(TG)、低密度脂蛋白(LDL)、同型半胱氨酸(Hyc)和C反应蛋白(CRP)等指标变化,电子称称体重。结果与对照组相比较,干预半年后观察组患者的体重、血压、血糖、血脂、Hc A1b、Hyc和CRP水平均下降明显,血糖和血压达标率升高,差异均有统计学意义(P<0.05),统计发现运动量与收缩压、体重和Hc A1b均呈反比。结论运动疗法可有效改善2型糖尿病合并高血压患者的糖脂代谢紊乱和降低外周血管阻力,提高药物降糖、降压疗效。

Objective To research the effect of cinesiatrics on glucolipide metabolism and blood pressure of patients with type 2 diabetes and hypertension. Methods Ninety four patients with type 2 diabete and hypertension were randomly divided into control group and observation group. 47 patientes were in each group. All patients were treated with individualized drug therapy. Patients in observation group were plus cinesiotherapy. The blood- fasting sugar（ FBS） and blood pressure（ BP） of patients were compared between two groups after treatment for half year. The changes of FBS,insulin（ In）,glycosylated hemoglobin（ Hc A1b）,triglyceride（ TG）,low density lipoprotein（ LDL）,homocysteine（ Hyc） and C reactive protein（ CRP） were detected by automatic analyzer. The body mass（ BM） was weighed by electronic scale. Results In compared with the control group after treatment for 6 months,the BP and the serum levels of FBS,In,Hc A1 b,TG,LDL,Hyc and CRP were declined obviously. The IR and BM were also decreased,but the FBS and BP control rates of patients were imcreased in observation group（ P 〈 0. 05）. SBP,BM and Hc A1 b had negative relationship with amount of exercise analyzed by Pearson method. Conclusion The cinesiotherapy can effectively improve glucolipid metabolic disorder and depress peripheral vascular resistance of patients with type 2 diabete and hypertension,which enhanced the drug therapeutic efficacy.