高强度间歇运动护理训练对2型糖尿病合并肥胖患者糖脂代谢的影响

Effect of High-intensity Intermittent Exercise Nursing Training on Glucose and Lipid Metabolism in Patients with Type 2 Diabetes Mellitus Complicated with Obesit

目的观察高强度间歇运动护理训练对2型糖尿病合并肥胖患者糖脂代谢的影响。方法选取2020年3月-2021年3月在我院诊治的86例2型糖尿病合并肥胖患者为研究对象,采用随机数字表法分为对照组和观察组,各43例。对照组采用常规护理,观察组在对照组基础上联合高强度间歇运动护理训练,比较两组体质指数(BMI)、血糖指标、血脂指标以及生活质量水平。结果两组干预后BMI均小于干预前,且观察组小于对照组(P<0.05);两组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于干预前,且观察组低于对照组(P<0.05);两组干预后TG、TC均低于治疗前,HDL-C高于治疗前,且观察组TC、HDL-C低于对照组,HDL-C高于对照组(P<0.05);观察组干预后生活质量评分高于对照组(P<0.05)。结论高强度间歇运动护理训练可促进2型糖尿病合并肥胖患者糖脂代谢改善,有效控制血糖水平,降低BMI,提高患者生活质量水平,是一种可行、有效的护理方法,值得借鉴。

Objective To observe the effect of high-intensity intermittent exercise nursing training on glucose and lipid metabolism in patients with type 2 diabetes mellitus complicated with obesity.Methods A total of 86 patients with type 2 diabetes mellitus complicated with obesity who were treated in our hospital from March 2020 to March 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 43 patients in each group.The control group was treated with routine nursing,and the observation group was combined with high-intensity intermittent exercise nursing training on the basis of the control group.The body mass index(BMI),blood glucose index,blood lipid index and quality of life were compared between the two groups.Results The BMI of the two groups after intervention was lower than that before intervention,and that of the observation group was lower than that of the control group(P<0.05).After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were lower than those before intervention,and those in the observation group were lower than those in the control group(P<0.05).After intervention,TG and TC in the two groups were lower than those before treatment,HDL-C was higher than that before treatment,and TC and HDL-C in the observation group were lower than those in the control group,HDL-C was higher than that in the control group(P<0.05).The quality of life score of the observation group after intervention was higher than that of the control group(P<0.05).Conclusion High-intensity intermittent exercise nursing training can promote the improvement of glucose and lipid metabolism in patients with type 2 diabetes mellitus complicated with obesity,effectively control blood glucose levels,reduce BMI,and improve the quality of life of patients.It is a feasible and effective nursing method,which is worthy of reference.