运动指导对2型糖尿病患者血糖控制疗效观察.docVIP

运动指导对2型糖尿病患者血糖控制疗效观察[摘要] 目的 评估运动指导对2型糖尿病血糖控制的疗效。方法 2型糖尿病患者50例，未使用胰岛素。按照随机数字表法将研究对象分为强化指导组和常规指导组，每组25例。对照组患者给予常规运动指导，即小组授课、发放相关学习资料、电话咨询。强化指导组患者除给予常规运动指导外，为每位患者提供快速血糖检测仪，进行自我监测和记录并每月反馈。对两组患者进行为期1年的随访，比较体重、血压、血糖（糖化血红蛋白、空腹血糖、餐后血糖）变化。结果 1年后，两组患者的体重、糖化血红蛋白、空腹及餐后血糖、血脂均较治疗前有所下降，干预组较对照组下降更为显著。 其中，空腹血糖下降明显，在两组间的差异具有统计学意义（P＜0.05）。结论 对于糖尿病患者的运动采取强化指导的方式进行干预，更能使运动治疗在2型糖尿病的综合治疗中显示出其重要意义。 [关键词] 运动指导； 2型糖尿病； 血糖 [中图分类号] R587.1[文献标识码] B[文章编号] 1005-0515（2011）-04-001-01 Abstract Evaluation on intensive instruction [Abstract] Objective The purpose of this study was to present strategies to improve the effectiveness of physical activitycounseling for patients with type 2 diabetes and explore the importance of physical activity for diabetic treatment．Methods In the out-patient department, 50 patients with type 2 diabetes were randomly divided into intervention group and control group. The control group was given conventional exercise guidance, such as group instruction, information dissemination, telephone counseling；The intervention group was given intensive instructions including conventional exercise guidance, and rapid blood glucose tester for each patient to carry out self-monitoring; records and feedback were taken monthly. Two groups of patients were followed up for one year. The indicators such as weight, blood pressure, HbA1c, fasting glucose and postprandial glucose of the two groups were compared. Results The decrease of weight, HbA1c, fasting glucose, postprandial glucose was more obvious in intervention group than in control group. The fasting glucose dropped more significantly in intervention group, P＜0.05．Conclusions Intensive instructions of exercise were more effective for patients with type 2 diabetes． [Keywords] exercise； 2 diabetic； blood glucose 1 前言 目前，国内外对糖尿病的综合治疗都遵循着“五驾马车”的原则，即饮食治疗、运动治疗、药物治疗、定期监测、糖尿病自我管理教育[1]。在我国，对于运动治疗的认识已经明确，但在运动的实施方面尚属薄弱环节[2-4]。本研究通过对两组2型糖尿病患者分别进行强化运动指导和常规指导，比较其糖代谢水平和相关指标的动态变化，以了解强化运动指导的效果，旨在探讨更好的运动指导和管理方法， 使运动治疗能在2型糖尿病综合治疗