八段锦联合营养干预对女性甲状腺功能亢进症合并糖尿病患者生理指标及情志的影响

Effect of Baduanjin combined with nutritional intervention on physiological indexes and emotion of female hyperthyroidism patients with diabetes mellitus

目的观察八段锦联合营养干预对女性甲状腺功能亢进症合并糖尿病患者生理指标及情志的影响。方法选择2021年1月至2023年1月湖南省人民医院收治的86例女性甲状腺功能亢进症合并糖尿病患者,采取随机数字表法分为两组,每组43例。对照组实施常规干预,联合组在对照组基础上实施八段锦联合营养干预,观察两组干预前后血糖相关指标[空腹血糖(FPG)、餐后2 h血糖(2 h PG)]、甲状腺相关指标[促甲状腺激素(TSH)、游离甲状腺素(FT_(4))、游离三碘甲状腺原氨酸(FT_(3))]及症状自评量表(SCL-90)、糖尿病自我管理行为量表(SDSCA)评分。结果干预后联合组FPG、2hPG水平低于对照组(P<0.05);干预后联合组TSH水平高于对照组,FT_(4)、FT_(3)水平低于对照组(P<0.05);干预后联合组SCL-90各维度评分低于对照组(P<0.05);干预后联合组SDSCA各维度评分均高于对照组(P<0.05)。结论八段锦联合营养干预能改善女性甲状腺功能亢进症合并糖尿病患者的相关临床指标及不良心理状态,提升自我管理能力,且操作简单,患者易接受,值得推广。

Objective To observe the effect of Baduanjin combined with nutritional intervention on physiological indexes and emotion in female hyperthyroidism patients with diabetes mellitus.Methods A total of 86 female hyperthyroidism patients with diabetes mellitus admitted to Hunan Provincial People’s Hospital from January 2021 to January 2023 were selected and divided into two groups by random number table method,with 43 cases in each group.The control group was given routine intervention,and the combined group was given Baduanjin combined with nutritional intervention on the basis of the control group.T he blood glucose related indexes(fasting plasma glucose[FPG],2 h postprandial plasma glucose[2 h PG]),thyroid related indicators(thyroid stimulating hormone[TSH],free thyroxine[FT_(4)],free triiodothyronine[FT_(3)]),and scores of symptom check list 90(SCL-90),the summary of diabetes self-care activity(SDSCA)before and after intervention were observed in the two groups.Results After intervention,the levels of FPG and 2 h PG in combined group were lower than those in control group(P<0.05).After intervention,the level of TSH in the combined group was higher than that in the control group,and the levels of FT4 and FT3 were lower than those in the control group(P<0.05).After intervention,the SCL-90 scores of the combined group were lower than those of the control group(P<0.05).After intervention,the SDSCA scores of the combined group were higher than those of the control group(P<0.05).Conclusion Baduanjin combined with nutritional intervention can improve the relevant clinical indicators of female hyperthyroidism patients with diabetes mellitus,improve the bad psychological state and the ability of self-management.It is simple to operate and easy to be accepted by patients,which is worthy of promotion.