运动疗法在2型糖尿病康复治疗中的效果观察

Observation on the effect of exercise therapy in rehabilitation of type 2 diabetes mellitus

目的观察运动疗法在2型糖尿病康复治疗中的应用效果。方法100例2型糖尿病患者,采用随机数字表法分为研究组和对照组,每组50例。对照组给予常规治疗及干预,研究组在对照组基础上给予运动疗法干预。比较两组患者干预前后的糖脂代谢指标[空腹血糖、餐后2 h血糖、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]及满意度。结果研究组干预前空腹血糖、餐后2 h血糖、TC、TG、LDL-C、HDL-C分别为(10.43±1.62)、(14.53±1.56)、(7.03±1.18)、(2.38±0.52)、(4.94±0.52)、(1.68±0.27)mmol/L,干预后分别为(5.78±0.79)、(7.36±0.74)、(4.52±0.69)、(1.11±0.17)、(2.62±0.26)、(2.87±0.28)mmol/L;对照组干预前空腹血糖、餐后2 h血糖、TC、TG、LDL-C、HDL-C分别为(10.73±1.53)、(15.05±1.49)、(7.00±1.10)、(2.39±0.59)、(4.76±0.53)、(1.74±0.29)mmol/L,干预后分别为(6.62±0.68)、(8.64±0.48)、(5.44±0.86)、(1.48±0.18)、(3.17±0.59)、(2.26±0.20)mmol/L。干预前,两组患者的空腹血糖、餐后2 h血糖、TC、TG、LDL-C、HDL-C水平比较差异无统计学意义(P>0.05);干预后,两组的空腹血糖、餐后2 h血糖、TC、TG、LDL-C水平均较干预前明显降低,且研究组明显低于对照组;两组的HDL-C水平较干预前显著升高,且研究组高于对照组,差异具有统计学意义(P<0.05)。研究组患者总满意度100.00%高于对照组的88.00%,差异具有统计学意义(P<0.05)。结论在2型糖尿病临床康复治疗中在常规的药物治疗及饮食指导基础上配合运动疗法干预,可显著的改善患者的血糖、血脂代谢指标,提升患者满意度。

Objective To observe the application effect of exercise therapy in rehabilitation of type 2 diabetes mellitus.Methods A total of 100 patients with type 2 diabetes mellitus were divided into study group and control group according to the random numerical table,with 50 cases in each group.The control group received conventional treatment and intervention,and the study group received exercise therapy on the basis of the control group.Both groups were compared in terms of glucose and lipid metabolism indexes[fasting blood glucose,2 h postprandial blood glucose,total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C)]before and after intervention,and satisfaction.Results In the study group,the levels of fasting blood glucose,2 h postprandial blood glucose,TC,TG,LDL-C and HDL-C were(10.43±1.62),(14.53±1.56),(7.03±1.18),(2.38±0.52),(4.94±0.52)and(1.68±0.27)mmol/L before intervention,and were(5.78±0.79),(7.36±0.74),(4.52±0.69),(1.11±0.17),(2.62±0.26)and(2.87±0.28)mmol/L after intervention.In the control group,the levels of fasting blood glucose,2 h postprandial blood glucose,TC,TG,LDL-C and HDL-C were(10.73±1.53),(15.05±1.49),(7.00±1.10),(2.39±0.59),(4.76±0.53)and(1.74±0.29)mmol/L before intervention,and were(6.62±0.68),(8.64±0.48),(5.44±0.86),(1.48±0.18),(3.17±0.59)and(2.26±0.20)mmol/L after intervention.Before intervention,there was no statistically significant difference in terms of levels of fasting blood glucose,2 h postprandial blood glucose,TC,TG,LDL-C and HDL-C between the two groups(P>0.05).After intervention,the levels of fasting blood glucose,2 h postmeal blood glucose,TC,TG and LDL-C in both groups were significantly lower than those before intervention in this group,and the study group was significantly lower than the control group;HDL-C level in both groups was significantly higher than that before intervention,and the study group was higher than the control group;the differences were statistically significant(P<0.05).The total satisfaction in the study group was 100.00%,which was higher than that of 88.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical rehabilitation treatment of type 2 diabetes mellitus,in addition to conventional drug treatment and diet guidance,exercise therapy can significantly improve the blood glucose and lipid metabolism indicators of patients,and enhance patients'satisfaction.