【摘要】：目的觀察太極運動對老年2型糖尿病(T2DM)患者骨密度(BMD),血糖、血脂、尿微量白蛋白(UALB)水平的影響。方法將2011年9月至2013年8月在我院就診的老年T2DM患者隨機分為對照組和試驗組,兩組均接受常規(guī)藥物治療,給予常規(guī)護(hù)理和健康宣教,試驗組在常規(guī)治療基礎(chǔ)上進(jìn)行太極有氧運動干預(yù),干預(yù)周期為6個月,測定患者0和6個月時BMD,血糖、血脂、UALB水平,比較治療前、后兩組患者各指標(biāo)的變化。結(jié)果試驗組治療后較試驗前第2~4腰椎L2~4、股骨頸和Wards三角BMD均顯著增加(P0.05),而對照組治療前后各BMD指標(biāo)無差異;治療6個月后,試驗組各BMD差值顯著高于對照組(P0.05);太極運動可顯著改善老年T2DM患者的空腹血糖(FBG),糖化血紅蛋白(Hb A1c),體重指數(shù)(BMI)和腰臀比(WHR)等指標(biāo)。結(jié)論太極運動對老年T2DM患者骨質(zhì)疏松有預(yù)防作用,該方法可有效提升患者生活質(zhì)量。
[Abstract]:Objective to observe the effects of Taiji exercise on bone mineral density (BMD),) blood glucose, blood lipids and urinary microalbumin (UALB) levels in elderly patients with type 2 diabetes mellitus (T2DM). Methods aged T2DM patients who were admitted to our hospital from September 2011 to August 2013 were randomly divided into two groups: control group and experimental group. Both groups received routine drug therapy, routine nursing and health education. Taiji aerobic exercise intervention was carried out on the basis of routine treatment in the test group. The intervention period was 6 months. The levels of BMD, blood glucose, blood lipid and UALB were measured at 0 and 6 months after treatment, and the changes of each index before and after treatment were compared between the two groups. Results after treatment, the BMD of femoral neck and Wards triangle increased significantly in the experimental group compared with that in the 4th lumbar vertebrae before and after treatment (P0.05), but there was no difference in BMD indexes before and after treatment in the control group. After 6 months of treatment, the difference of BMD in the experimental group was significantly higher than that in the control group (P0.05). Tai Chi exercise significantly improved fasting blood glucose (FBG), glycosylated hemoglobin (Hb A1c), body mass index (BMI) and waist hip ratio (WHR) in elderly patients with T2DM. Conclusion Taiji exercise can prevent osteoporosis in elderly patients with T2DM, and this method can effectively improve the quality of life.
【作者單位】： 連云港市第二人民醫(yī)院老年科;
【基金】：連云港市衛(wèi)生局科研項目(2010-1014)
【分類號】：R587.1;R580
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本文編號：2405030