传统运动模式干预社区2型糖尿病患者的效果评价

Evaluation of the effect of traditional exercise mode in the intervention of patients with type 2 diabetes in the community

目的 :探讨利用传统运动模式干预社区2型糖尿病患者的效果。方法 :2016年3月在上海马陆镇采用随机整群抽样方法抽取两个居委会的患者分别为干预组和对照组,每组120人。干预组中有男性42人,女性78人,平均年龄(59.27±2.35)岁,平均病程(8.42±1.48)年。对照组中有男性50人,女性70人,平均年龄(60.0±2.67)岁,平均病程(8.86±1.57)年。干预组糖尿病患者在社区规范随访管理基础上,参加由专业体育指导老师带领、社区医生指导、小组组长管理的,每周3次、每次1 h的运动,社区运动菜单包括规定项目2项(练功十八法和八段锦)和自选项目5项(木兰拳、木兰扇、插秧操、扁担操、葡萄操)。对照组按《上海市社区糖尿病防治工作指南(试行)》进行管理。两年后干预组失访2人,对照组死亡1例。比较两组干预前后糖尿病防治知识掌握率、BMI,血脂及空腹血糖、糖化血红蛋白水平的变化、以及糖尿病并发症发生情况。结果:干预后,干预组患者对运动心率和肥胖标准知识的掌握水平优于对照组;血糖、血脂控制情况明显优于对照组,差异均有统计学意义(P <0.05)结论 :传统运动干预可提高糖尿病患者的血糖控制水平。

Objective: To explore the effect of traditional exercise mode in the intervention of the patients with type 2 diabetes in the community. Methods: In March 2016, the patients in the two neighborhood committees were randomly selected and divided into an intervention group and a control group with 120 people in each group. There were 42 males and 78 females in the intervention group with an average age of(59.27±2.35) years and an average course of disease was(8.42±1.48) years. There were 50 males and 70 females in the control group with an average age of(60.0±2.67) years and an average course of disease was(8.86±1.57) years. On the basis of standardized follow-up management in the community, diabetic patients in the intervention group participated in the exercise led by professional sports instructors, guided by community doctors and managed by group leaders three times a week and one hour a time, and community sports menu included the provisions of the two project items(eighteen methods of doing qigong and eight paragraph kam) and five optional items(Mulan boxing, Mulan fan, rice transplanting exercise, shoulder pole exercise, and grape exercise). The control group was managed according to《the guidelines for the prevention and treatment of diabetes in Shanghai Community(trial)》. Two years later, two patients in the intervention group were lost, and one patient in the control group died. Before and after the intervention, the rate of mastering diabetic prevention and control knowledge, BMI, blood lipid and fasting blood glucose, change of glycosylated hemoglobin level and diabetic complications were compared between the two groups. Results: After intervention, the patients in the intervention group had better knowledge of exercise heart rate and obesity standard than those in the control group;the control of blood glucose and blood lipid in the intervention group was significantly better than that in the control group and the difference was statistically significant(P<0.05). Conclusion: Traditional exercise intervention can improve the blood glucose control level of the diabetic patients.