2型糖尿病患者静态平衡功能的分析

Analysis of static balance function in patients with type 2 diabetes mellitus

目的对2型糖尿病患者的静态平衡功能进行分析。方法纳入符合2型糖尿病诊断标准的患者30例,同时选取年龄、性别匹配的正常人30名作为对照组。收集受试者一般基线资料及内分泌相关生物化学检验结果,应用PC708型静态平衡仪,分别进行睁眼、闭眼站立于硬平台时的平衡功能测试,比较轨迹图面积、轨迹总长度、单位面积轨迹长及Romberg率。结果糖尿病组在睁眼站立于硬平台时,轨迹图面积、轨迹总长度及Romberg率大于对照组,差异有统计学意义(P <0. 05)。糖尿病组在闭眼站立于硬平台时,轨迹图面积、轨迹总长度均大于对照组,差异有统计学意义(P <0. 05)。糖尿病组单位面积轨迹长小于对照组,Romberg率大于对照组,差异有统计学意义(P <0. 05)。结论 2型糖尿病患者出现静态平衡功能下降:睁眼情况下,糖尿病患者站立位维持静态平衡稳定能力降低;闭眼情况下,糖尿病患者站立位维持静态平衡稳定能力及平衡控制能力下降;Romberg率增大,提示糖尿病患者维持站立位静态平衡功能更多依赖视觉代偿。

Objective To evaluate the postural stability in a group of patients with diabetes mellitus. Methods The subjects were divided into control group( 30 cases) and diabetes mellitus group( 30 cases). General baseline data and endocrine-related test results were collected. Balance function tests were performed with eyes opened or closed and standing on hard platforms with a PC708 static balancing apparatus to evaluate the balanced function of diabetes mellitus patients. Results When the diabetic group was standing on a firm surface with open eyes,the total length of the track,the surface of the statokinesigram( SSKG) area and the Romberg quotient were greater than the control group,with statistically significant difference( P < 0. 05). When the diabetic group was standing on a firm surface with eyes closed,the total length of the track,and the SSKG area of diabetes mellitus subjects were greater than the control group,with statistically significant difference( P < 0. 05). The statokinesigram length( LFS) index was smaller than the control group,and the Romberg quotient was greater than the control group,both with statistically significant difference.( P < 0. 05). Conclusion The static balance function of type 2 diabetes mellitus patients decreased: The ability of diabetic patients to maintain static balance and stability in standing position with open eyes was lower than that of the control group. With eyes closed,the ability of diabetic patients to maintain static equilibrium and balance control in standing position was lower than that of normal people. The increase of Romberg rate indicates that the maintenance of standing static balance function in diabetic patients depends more on visual information.