“七步洗手法”对改善女性2型糖尿病患者前臂远端骨密度的作用

Effect of“seven-step hand-washing method”in the improvement of bone mineral density of distal forearm in female patients with type 2 diabetes mellitus

目的:研究“七步洗手法”改善女性2型糖尿病患者前臂远端骨密度的作用。方法:选取本社区管理的女性2型糖尿病患者102例,随机分为观察组和对照组,每组51人。观察组平均年龄为(69.80±3.19)岁,对照组平均年龄为(69.84±3.35)岁。两组均给予均衡饮食指导及碳酸钙D3片,对观察组患者另外给予“七步洗手法”腕关节锻炼。比较干预12个月后两组对象桡骨远端1/3骨密度的差异。结果:干预后观察组和对照组的桡骨远端1/3骨密度中位数均高于干预前,差异均有统计学意义(0.333 g/m2比0.321 g/m2,P<0.001;0.322 g/m2比0.319 g/m2,P<0.01),但观察组的桡骨远端1/3骨密度中位数高于对照组,差异有统计学意义(P<0.001)。结论:“七步洗手法”步骤涵盖了腕关节全部活动功能的锻炼,又附带一定的抗阻和振动运动模式,可以有效提高前臂远端骨密度。该法简便易用,依从性好,适宜在社区推广应用。

Objective:To study the effect of“seven-step hand-washing method”in the improvement of bone mineral density(BMD)of distal forearm in female patients with type 2 diabetes mellitus(T2DM).Methods:One hundred and two female patients with T2DM under community management were selected and randomly divided into an observation group and a control group with 51 cases in each group.The average age of the observation group was(69.80±3.19)years,and the average age of the control group was(69.84±3.35)years.Both groups were given a balanced diet and calcium carbonate D3 tablet,and the observation group was also given“seven-step hand-washing method”wrist exercise.The BMD difference of 1/3 of the distal radius between the two groups was compared after 12 months of intervention.Results:The median BMD of 1/3 of the distal radius of the observation group and the control group were higher after the intervention than before the intervention,and the differences were statistically significant(0.333 g/m2 vs.0.321g/m2,P<0.001;0.322 g/m2 vs.0.319 g/m2,P<0.05).The median BMD of 1/3 of the distal radius of the observation group was higher than that of the control group after intervention,and the difference was statistically significant(P<0.001).Conclusion:The“seven-step hand-washing method“covers the exercise of all motion functions of the wrist joint,with certain anti-resistance and vibration movement modes,and can effectively improve the BMD of distal forearm.The method is simple and easy to use,has good compliance,and is suitable for promotion and application in the community.