运动干预对中老年Ⅱ型糖尿病病人症状改善作用研究

Effect of Exercise Intervention on Improvement of Symptoms among Middle-aged and Elderly Patients with Type 2 Diabetes Mellitus

目的:为了探究运动干预对Ⅱ型糖尿病患者的治疗效果,向患者普及科学健身的知识和方法,增强其体质,延缓病情进一步恶化。方法:通过对社区医院109名40~69岁的Ⅱ型糖尿病患者实施运动干预,并于实验前、中、后期对受试者形态、机能、素质及糖脂代谢指标进行测试。结果:与同期对照组和组内干预前相比,12周末运动组的体重、BMI、收缩压、TC和TG显著降低(P<0.05),12周末的台阶指数、坐位体前屈显著增加(P<0.05);6周末和12周末运动组的肺活量、HDL显著增加(P<0.05),6周末和12周末运动组的选择反应时、FPG、2hPBG、HbA1c、LDL显著降低(P<0.05)。结论:12周运动干预能够在一定程度上改善形态、素质和机能指标,提高机体的有氧代谢能力,其中对改善糖脂代谢的效果较好,能够在一定程度上有效控制FPG、2hPBG、HbA1c水平,提升HDL水平,降低TC、TG和LDL水平,更好地调控血糖。

Objective:In order to explore the therapeutic effect of exercise intervention on type 2 diabetes mellitus patients,impart scientific fitness knowledge and methods to patients,enhance their physique and delay the further deterioration of the disease.Methods:109 patients with type 2 diabetes mellitus aged 40~69 years in community hospital were given exercise intervention and the shape,physical function,physical quality and glycolipid metabolism of the subjects were tested before,during and after the experiment.Result:Compared with the control group and the group before the intervention,the weight,BMI,systolic blood pressure,TC and TG of the 12-week exercise group decreased significantly(P<0.05);the step index and the sit-and-reach of the 12-week exercise group increased significantly(P<0.05);the vital capacity and HDL of the 6-week and 12-week exercise groups increased significantly(P<0.05),and their reaction time,FPG,2hPBG,HbA1c,HDL and LDL decreased significantly(P<0.05).Conclusion:The 12-week exercise intervention prescription can improve the shape,physical quality and function index to a certain extent,and improve the aerobic metabolism ability of the organism.The exercise intervention has a better effect on improving the metabolism of glucose and lipid,which can effectively control the levels of FPG,2hPBG and Ghb,raise the HDL level,and reduce the levels of TC,TG and LDL to a certain extent,thus regulating blood sugar and curbing the aggravation of diabetes mellitus.