弹力围巾操在2型糖尿病肌少症康复作用中的研究

Study on Effect of Elastic Scarf Exercise in Rehabilitation of Type 2 Diabetes Mellitus with Sarcopenia

目的:分析弹力围巾操在2型糖尿病肌少症患者康复中的临床作用。方法:选取2018年6月-2019年6月在北京市西城区平安医院内科就诊的≥60岁2型糖尿病合并肌少症的40例患者为研究对象,随机分为对照组和试验组,每组20例。对照组患者给予常规教育,试验组患者在对照组常规教育的基础上进行弹力围巾操训练。比较两组患者骨密度、体重指数(BMI)、四肢肌肉含量,血糖变化(空腹血糖、餐后血糖)、糖化血红蛋白、甲状旁腺素、血肌酐水平,以及汉密顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分。结果:治疗后,试验组患者骨密度、BMI、四肢肌肉含量高于对照组,空腹血糖、餐后血糖、糖化血红蛋白、甲状旁腺素水平、HAMD评分和HAMA评分均低于对照组,差异有统计学意义(P<0.05);血肌酐水平高于对照组,差异无统计学意义(P>0.05)。结论:对2型糖尿病肌少症患者采用弹力围巾操进行康复治疗,有利于维持肌肉功能。

Objective:To analyze the clinical effect of elastic scarf exercise in the rehabilitation of type 2 diabetes mellitus patients with sarcopenia.Methods:A total of 40 patients with type 2 diabetes mellitus and sarcopenia who aged≥60 years and were admitted to Beijing Xicheng District Pingan Hospital from June 2018 to June 2019 were selected as the study subjects.They were randomly divided into control group and experimental group,with 20 cases in each group.The control group was given routine education and the experimental group was given elastic scarf exercise on the basis of routine education.The bone mineral density,body mass index(BMI),muscle content of limbs,blood glucose changes(fasting blood glucose,postprandial blood glucose),glycosylated hemoglobin,parathyroid hormone,serum creatinine levels,and Hamilton Depression Rating Scale(HAMD)and Hamilton Anxiety Rating Scale(HAMA)scores were compared between the two groups.Results:After treatment,the bone mineral density,BMI,and muscle content of limbs in the experimental group were higher than those in the control group,while the levels of fasting blood glucose,postprandial blood glucose,glycosylated hemoglobin,parathyroid hormone,HAMD score and HAMA score were lower than those in the control group,the difference was statistically significant(P<0.05);serum creatinine level was higher than the control group,and the difference was not statistically significant(P>0.05).Conclusion:The use of elastic scarf exercises in the rehabilitation of type 2 diabetes mellitus patients with sarcopenia is conductive to maintain muscle function.