中医运动养生联合常规护理干预2型糖尿病临床研究

Clinical Study on Exercise for Health Preservation of Chinese Medicine Combined with Routine Nursing in Intervening Type 2 Diabetes Mellitus

目的:观察中医运动养生联合常规护理治疗2型糖尿病的临床疗效。方法:将2型糖尿病患者89例按随机数字表法分为2组,对照组44例给予以基础治疗及常规护理干预;观察组45例在对照组的基础上加用中医运动养生护理;观察比较2组患者护理前后血压、血糖[空腹血糖(FBG)和餐后2 h血糖(P2hBG)]、胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、体质量指数(BMI)及骨代谢指标25-羟基维生素(25-OHD)变化情况,以及护理后血糖恢复正常时间和护理满意度评分。结果:护理干预后,观察组患者收缩压、舒张压、FBG、P2hBG水平均明显低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者FINS、HOMA-IR水平明显低于对照组,25-OHD水平明显高于对照组,差异均有统计学意义(P<0.05)。护理干预后,观察组患者BMI、血糖复常时间明显少于对照组,护理满意度评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:在基础治疗的基础上,中医运动养生联合常规护理可有效改善2型糖尿病患者的血糖、血压、胰岛素抵抗状态及骨代谢指标水平,缩短血糖复常时间,提高患者满意度。

Objective:To observe the clinical effect of exercise for health preservation of Chinese medicine combined with routine nursing in intervening type 2 diabetes mellitus.Methods:A total of 89 cases of patients with type 2 diabetes mellitus were divided into the control group and the observation group according to the random number table method,44 and 45 cases in each group respectively.The control group was given routine treatment and nursing intervention,and the observation group was additionally given exercise for health preservation of Chinese medicine based on the treatment of the control group.The changes of blood pressure,blood glucose including fasting blood glucose(FBG)and 2h post-meal glucose(P2hBG),fasting insulin(FINS),insulin resistance index(HOMA-IR),body mass index(BMI)and 25-hydroxyvitamin D(25-OHD)before and after nursing,as well as the time for blood glucose to return to normal and satisfaction scores after nursing in the two groups were observed and compared.Results:After intervention,the levels of systolic pressure,diastolic pressure,FPG and 2hPG in the observation group were obviously lower than those in the control group,the difference being significant(P<0.05).After intervention,the levels of FINS and HOMA-IR in the observation group were obviously lower than those in the control group,and the level of 25-OHD was obviously higher than that in the control group,differences being significant(P<0.05).After intervention,the BMI and the time for blood glucose to return to normal in the observation group were obviously less than those in the control group,and the satisfaction score was obviously higher than that in the control group,differences being significant(P<0.05).Conclusion:Based on the routine treatment,the therapy of exercise for health preservation of Chinese medicine combined with routine nursing can effectively improve blood glucose,blood pressure and insulin resistance,the levels of indexes of bone metabolism and the satisfaction scores,and shorten the time for blood glucose to return to normal.