医学气功六字诀对老年2型糖尿病患者的疗效研究

Efficacy of Medical Qigong Six Healing Sounds on elderly patients with type 2 diabetes mellitus

目的评估医学气功六字诀对老年2型糖尿病患者的临床疗效。方法招募60例某院2型糖尿病老年患者,接受糖尿病药物治疗和饮食控制,未使用胰岛素。按入院先后顺序随机分为干预组和对照组,每组30例。对照组患者进行步行训练,干预组患者接受医学气功六字诀运动处方,疗程均为3个月。将两组治疗前、治疗1个月和3个月后的糖化血清白蛋白(GA)、糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h血糖(2 hPBG)等指标进行组内和组间对比。结果两组患者治疗3个月后FBG、2 hPBG、GA、HbA1c均有所改善,且干预组在进行六字诀锻炼1个月后FBG、2 hPBG、GA较治疗前出现了明显下降,治疗3个月较1个月GA水平进一步下降(P<0.05)。治疗3个月后干预组2 hPBG、GA显著低于对照组(P<0.05),FBG、HbA1c比较差异无统计学意义(P>0.05)。结论医学气功六字诀较步行可以更快更有效地控制老年2型糖尿病患者的血糖,且这种积极作用可能持续存在,为老年2型糖尿病的血糖管理提供了新的思路和方向。

Objective To evaluate the clinical efficacy of Medical Qigong Six Healing Sounds on elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 60 elderly patients with T2DM in a certain sanatorium were enrolled.They received diabetes medication and diet control without insulin.According to the order of admission,they were randomly divided into intervention group and control group,with 30 cases in each group.The patients in the control group underwent walking training,and the patients in the intervention group received Six Healing Sounds exercise,both with a course of 3 months.Inter-group and intra-group comparisons were conducted on the items of glycosylated serum albumin(GA),glycated hemoglobin(HbA1c),fasting blood glucose(FBG),and 2-hour postprandial blood glucose(2 hPBG)before treatment,1 month and 3 months after treatment.Results FBG,2 hPBG,GA,and HbA1c were improved in both groups after 3 months of treatment.In the intervention group,FBG,2 hPBG,GA,decreased significantly after 1 month of Six Healing Sounds exercise,and the GA level further more decreased after 3 months than after 1 month(<0.05).After 3 months of treatment,2 hPBG and GA in the intervention group were significantly lower than those in the control group(<0.05),while there was no difference with statistical significance in FBG and HbA1c(>0.05).Conclusion Medical Qigong Six Healing Sounds can control the glucose of elderly patients with T2DM more quickly and effectively than walking,and this positive effect may exist persistently,which may provide new ideas and directions for the management of elderly T2DM.