糖尿病患者的康复治疗与评定

Rehabilitation treatment and evaluation in diabetic patients

目的:观察综合康复治疗对社区2型糖尿病患者的疗效,探讨适合我国国情的社区糖尿病康复治疗模式。方法:对本市社区的2型糖尿病患者进行1年的综合康复治疗随访观察。结果:1年康复治疗后糖尿病患者的空腹血糖较1年前有显著降低,平均降低1.75mmol/L;三酰甘油和胆固醇水平降低明显,高密度胆固醇(HDL-ch)虽有所升高,但差别不显著;体重指数(BMI)、腰臀比(WHR)和血压康复治疗后都有显著下降。糖尿病患者每人每季度平均医疗费用较康复治疗前减少331元,费用下降幅度达41.2%。结论:在社区开展糖尿病患者的康复治疗可有效控制糖尿病患者血糖水平,降低糖尿病危险因素水平,增强患者的体质,这对预防糖尿病并发症的发生起到重要作用。

AIM: To observe the therapeutic effects of rehabilitation treatment in Type 2 diabetic patients in the community and to explore the therapeutic model the adapts the practical situation in our country. METHOD: We carried out one year interference in Type 2 diabetic patients in the community. RESULT: It is showed that FBG of interfered group (IG) decreased significantly after one year exercise. It decreased by average 1.75mmol/L. Exercise resulted in an obvious decrease in TG and Tch level of IG and didn't cause a significant increase in HDL ch. Before interference, BMI, WHR and blood pressure were all beyond normal value, but after interference they all decreased. The average medical expense of one diabetic patient per season decreased 331 RMB after one year exercise, which decreased by 41.2%. CONCLUSION: Our research proves that exercise is an effective treatment to control blood glucose of diabetic patients. Long term medial degree exercise can cause a fall in diabetic risk factors and a rise in physical quality level, which is important to prevent diabetic complications.