八段锦对糖尿病前期伴轻度高血压患者血糖和血压的影响

Clinical Observation on Effect of Baduanjin on Blood Glucose and Blood Pressure in Patients with Impaired Glucose Regulation Complicated with Mild Hypertension

目的:观察八段锦对社区糖尿病前期(IGR)伴轻度高血压患者血糖和血压的控制效果。方法:在社区参与健康管理的居民中筛选出IGR合并轻度高血压患者90例,随机分为八段锦组、抗阻运动组和空白对照组。干预前和干预后2、4、6个月检测患者的空腹血糖(FBG)、糖化血红蛋白(HbA1c)和血压,最终收集到82例患者的的完整数据。结果:两运动组各时点血糖指标水平均较干预前降低(P <0.01);两运动组血糖指标呈下降趋势,空白对照组血糖指标维持原有水平。两运动组干预后各时点血糖指标均低于同期对照组(P <0.05)。干预4、6个月时,抗阻运动组血糖指标水平均低于八段锦组(P <0.05)。干预后,各时点八段锦组收缩压(SBP)、舒张压(DBP)及抗阻运动组SBP均较干预前降低(P <0.01);干预4、6个月时,抗阻运动组DBP均较干预前降低(P <0.01)。两运动组血压指标呈下降趋势,空白对照组DBP呈上升趋势,SBP维持原有水平。干预后,八段锦组各时点SBP、DBP及抗阻运动组SBP均低于同期对照组(P <0.05);干预4、6个月时,抗阻运动组DBP低于同期对照组(P <0.05),八段锦组SBP低于抗阻运动组(P <0.05)。结论:八段锦和抗阻运动均能安全有效地控制IGR合并轻度高血压患者的血糖和血压,八段锦对血压的控制效果优于抗阻运动。

Objective: To observe the control effect of Baduanjin on blood glucose and blood pressure in patients with impaired glucose regulation(IGR)complicated with mild hypertension in community. Methods:A total of 90 cases of patients with IGR complicated with mild hypertension were selected from residents participating in health management in community,and were randomly divided into the Baduanjin group, the resistance exercise group and the blank control group. Before intervention as well as after intervention for two, four and six months, the fasting blood glucose(FBG), hemoglobin A1 c(Hb A1 c)and blood pressure in patients were detected. Finally, the complete data of 82 cases of patients were collected.Results:The levels of blood glucose indexes at each time point in the two training groups were decreased when compared with those before intervention(P < 0.01);the indexes of blood glucose showed a downtrend in the two training groups,and maintained the same in the control group. After intervention, the indexes of blood glucose at each time point in the two training groups were lower than those in the control group at the same period(P < 0.05). After intervention for four and six months,the levels of blood glucose indexes in the resistance exercise group were lower than those in the Baduanjin group(P < 0.05). After intervention,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the Baduanjin group as well as SBP in the resistance exercise group at each time point were decreased when compared with those before intervention(P <0.01);after intervention for four and six months,DBP in the resistance exercise group was decreased when compared with that before intervention(P < 0.01). The blood pressure indexes in the two training groups showed a downtrend;DBP in the blank control group showed an increasing trend and SBP showed no change. After intervention,SBP and DBP at each time point in the Baduanjin group as well as SBP in the resistance exercise group were lower than those in the control group at the same period(P < 0.05);after intervention for four and six months,DBP in the resistance exercise group was lower than that in the control group at the same period(P < 0.05),and SBP in the Baduanjin group was lower than that in the resistance exercise group respectively(P < 0.05). Conclusion:Both Baduanjin and resistance exercise can safely and effectively control the blood glucose and blood pressure in patients with IGR complicated with mild hypertension,and the control effect of Baduanjin on blood pressure is superior to that of the resistance exercise.