摘要
目的观察八段锦对社区糖尿病前期患者糖脂代谢及生活质量的影响。方法将80例糖尿病前期患者随机分为治疗组和对照组,每组40例。对照组予常规生活方式干预加步行锻炼,治疗组予常规生活方式干预加练习八段锦,干预周期为24周。观察比较患者体质量、体质量指数(BMI)、腰臀比(WHR)、空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、空腹胰岛素(FINS)、餐后2 h胰岛素、胰岛素抵抗指数(HOMA-IR)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)及SF-36量表评分的变化情况。结果(1)最终完成试验者76例,治疗组39例,对照组37例。(2)治疗前后组内比较,两组体质量、BMI水平均显著下降(P<0.05),治疗组WHR水平差异有统计学意义(P<0.05),对照组差异无统计学意义(P>0.05);组间治疗后比较,治疗组体质量、BMI水平均明显低于对照组(P<0.05)。(3)治疗前后组内比较,两组FPG、2hPG、HbA1c、FINS、餐后2 h胰岛素、HOMA-IR水平均明显降低(P<0.05);组间治疗后比较,治疗组上述血糖相关指标的改善均明显优于对照组(P<0.05)。(4)治疗前后组内比较,两组TC、TG、LDL-C水平均明显降低(P<0.05);组间治疗后比较,治疗组上述血脂相关指标的改善均明显优于对照组(P<0.05)。(5)治疗前后组内比较,两组生理健康评分与心理健康评分均明显升高(P<0.05);组间治疗后比较,治疗组生理健康评分与心理健康评分明显高于对照组(P<0.05)。结论八段锦锻炼可以有效降低社区糖尿病前期患者的体质量指数、腰臀比,调节糖脂代谢,改善胰岛素抵抗,提高患者生活质量。
Objective To observe the effect of Baduanjin on glucose and lipid metabolism and quality of life of pre-diabetic patients in the community.Methods Eighty patients with pre-diabetes were randomly divided into a treatment group(n=40)and a control group(n=40).The control group was administered with routine lifestyle intervention and walking exercise,while the treatment group was administered with routine lifestyle intervention and Baduanjin exercise.The intervention lasted 24 weeks.The changes of body weight,body mass index(BMI),waist-hip ratio(WHR),fasting blood glucose(FPG),2-hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c),fasting insulin(FINS),2-hour postprandial insulin,insulin resistance index(HOMA-IR),total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C)and the MOS item short from health survey(SF-36)scores in both groups were observed and compared.Results(1)Finally 76 cases completed the trial,with 39 cases in the treatment group and 37 cases in the control group.(2)After intervention,the body weight and BMI of the two groups decreased significantly(P<0.05).In the treatment group,the difference in WHR of patients before and after intervention was significant(P<0.05),while that was not significant in the control group(P>0.05).After intervention,the body weight and BMI of patients in the treatment group were significantly lower than those in the control group(P<0.05).(3)After intervention,the levels of FPG,2hPG,HbA1c,FINS,2h postprandial insulin and HOMA-IR in the two groups were significantly lower than those before intervention(P<0.05);and the improvement of blood glucose related indexes in the treatment group was significantly better than that in the control group(P<0.05).(4)After intervention,the levels of TC,TG and LDL-C in the two groups were significantly lower than those before intervention(P<0.05);and the improvement of blood lipid related indexes in the treatment group was significantly better than that in the control group(P<0.05).(5)After intervention,the physical health and mental health scores of SF-36 in both groups were significantly higher than those before intervention(P<0.05);and the physical health and mental health scores in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion Baduanjin exercise can effectively reduce body mass index and waist-hip ratio,regulate glucose and lipid metabolism,improve insulin resistance and the quality of life of pre-diabetic patients in the community.
作者
李勤
吴瑞
王凡
石白
安然
LI Qin;WU Rui;WANG Fan;SHI Bai;AN Ran(South District of Guang’anmen Hospital,China Academy of Chinese Medical Science,Beijing 102600,China)
出处
《上海中医药杂志》
2022年第5期49-53,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
北京市中医药科技发展资金项目(QN2018-36)
国家自然科学基金青年基金项目(82004345)
关键词
糖尿病前期
八段锦
治未病
非药物疗法
生活质量
pre-diabetes
Baduanjin
preventive treatment of disease
non-pharmacologic therapy
quality of life
作者简介
李勤,女,硕士,主治医师,主要从事中医药防治糖尿病及其并发症研究工作;通信作者:吴瑞,副主任医师,E-mail:391513652@qq.com
