基于结构性教育的LI-BFRT对老年2型糖尿病患者的影响

Effects of LI-BFRT based on structural education on elderly patients with type 2 diabetes mellitus

目的探究基于结构性教育的血流限制结合低强度有氧训练(LI-BFRT)对老年2型糖尿病(T2DM)患者的影响。方法选取老年T2DM患者80例,按照随机数字表法分为对照组和观察组,每组各40例。对照组给予常规教育和运动训练,观察组给予基于结构性教育的LI-BFRT。对比干预后两组糖代谢水平、足部血流速度及睡眠质量。结果干预后,观察组胰岛素抵抗(HOMA-IR)、胰岛素(FINS)及空腹血糖(FPG)、糖化血红蛋白(HbA1c)水平较对照组低,差异均具有统计学意义(P<0.05);观察组足部血流速度高于对照组(P<0.05);观察组日间身体功能、夜间苏醒、入睡时间、总睡眠时间、日间情绪、比期望时间早醒、日间思睡、总睡眠质量评分低于对照组(P<0.05)。结论基于结构性教育的LI-BFRT应用于老年T2MD患者,能够有效改善糖代谢水平和睡眠质量,促进足部代谢。

Objective To explore the effect of low intensity blood flow restriction training(LI-BFRT)based on blood flow restriction of structural education in elderly patients with type 2 diabetes mellitus(T2DM).Methods 80 newly diagnosed elderly T2DM patients were randomly divided into the control group and observation group.The control group were received routine education and exercise training,while the observation group were received LI-BFRT based on structural education.The glucose metabolism level,foot blood flow velocity and sleep quality between the two groups were compared after the intervention.Results After intervention,the levels of insulin resistance(HOMAIR),insulin(FINS),fasting blood glucose(FPG)and glycosylated hemoglobin(HbA1c)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The blood flow velocity of foot in observation group was higher than that of control group(P<0.05).Daytime body function,night wake up,sleep time,total sleep time,daytime mood,wake up earlier than expected time,daytime sleepiness,total sleep quality score in obsenation group were lower than that in control group(P<0.05).Conclusion Structure-based LIBFRT can effectively improve glucose metabolism and sleep quality and promote foot metabolism in T2MD patients.