运动疗法干预治疗肥胖患者糖耐量异常的临床观察

Clinical observation of exercise therapy on the treatment of abnormal glucose tolerance in obese patients

目的观察运动疗法干预治疗肥胖患者糖耐量异常的临床效果。方法 60例糖耐量异常肥胖患者,随机分为治疗组和对照组,各30例。治疗组采用快步走结合仰卧起坐的有氧运动训练,对照组采取常规运动方式散步,比较两组患者治疗前及治疗后1、6、12周的体质量指数(BMI)、腰围、葡萄糖耐量试验(OGTT)水平、腹壁脂肪厚度。结果治疗前及治疗后1周,两组患者的BMI、腰围、OGTT水平、腹壁脂肪厚度比较,差异无统计学意义(P>0.05);治疗后6周,治疗组患者的BMI、腰围、OGTT水平、腹壁脂肪厚度分别为(24.8±1.9)kg/m2、(83.6±5.2)cm、(7.2±1.1)mmol/L、(2.5±0.4)cm,治疗后12周分别为(22.8±2.1)kg/m2、(76.5±4.3)cm、(6.5±0.7)mmol/L、(1.7±0.6)cm;治疗后6周,对照组患者的BMI、腰围、OGTT水平、腹壁脂肪厚度分别为(26.6±2.0)kg/m2、(89.0±6.3)cm、(8.5±1.4)mmol/L、(2.9±0.5)cm,治疗后12周分别为(25.7±2.3)kg/m2、(85.8±4.1)cm、(8.0±1.2)mmol/L、(2.2±0.5)cm;治疗后6、12周,治疗组患者的BMI、腰围、OGTT水平、腹壁脂肪厚度均低于对照组,差异有统计学意义(P<0.05)。结论运动疗法干预治疗肥胖患者糖耐量异常的临床效果显著,值得推广。

Objective To observe the clinical effect of exercise therapy on the treatment of abnormal glucose tolerance in obese patients.Methods A total of 60 obese patients with abnormal glucose tolerance were randomly divided into treatment group and control group,with 30 cases in each group.The treatment group received quick walk and aerobics training of sit-ups,and the control group received regular exercise mode of walking.Comparison were made on body mass index(BMI),waist circumference,oral glucose tolerance test(OGTT)level,abdominal fat thickness before treatment and after 1 week,6 and 12 weeks of treatment between the two groups.Results Both groups had no statistically significant differences in BMI,waist circumference,OGTT level and abdominal fat thickness before treatment and after 1 week of treatment(P>0.05).After 6 weeks of treatment,the treatment group had BMI,waist circumference,OGTT level and abdominal fat thickness respectively as(24.8±1.9)kg/m^2,(83.6±5.2)cm,(7.2±1.1)mmol/L and(2.5±0.4)cm,which were(22.8±2.1)kg/m^2,(76.5±4.3)cm,(6.5±0.7)mmol/L and(1.7±0.6)cm after 12 weeks of treatment.After 6 weeks of treatment,the control group had BMI,waist circumference,OGTT level and abdominal fat thickness respectively as(26.6±2.0)kg/m^2,(89.0±6.3)cm,(8.5±1.4)mmol/L and(2.9±0.5)cm,which were(25.7±2.3)kg/m^2,(85.8±4.1)cm,(8.0±1.2)mmol/L and(2.2±0.5)cm after 12 weeks of treatment.After 6 and 12 weeks of treatment,the treatment group had lower BMI,waist circumference,OGTT level and abdominal fat thickness than the control group,and the differences were statistically significant(P<0.05).Conclusion The clinical effect of exercise therapy intervention on obesity patients with abnormal glucose tolerance is significant and it is worthy of promotion.