本文選題：少林內(nèi)功　切入點(diǎn)：2型糖尿病前期　出處：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：研究目的通過不同頻率少林內(nèi)功練習(xí)對2型糖尿病前期的進(jìn)行治療,觀察和評估不同頻率少林內(nèi)功的治療作用,并相互比較以明確其量效關(guān)系進(jìn)行,為少林內(nèi)功治療2型糖尿病前期的臨床應(yīng)用提供可靠的支持。研究方法60例符合納入標(biāo)準(zhǔn)并且不符合排除標(biāo)準(zhǔn)的社區(qū)2型糖尿病前期患者,被隨機(jī)分為少林內(nèi)功一組、少林內(nèi)功二組、少林內(nèi)功三組、少林內(nèi)功四組、步行對照組及空白對照組各10例。少林內(nèi)功一組、二組、三組、四組分別予1次/天、2次/天、3次/天、4次/天,每周練習(xí)五天的少林內(nèi)功練習(xí)；步行對照組予中等步速(80～100步/分鐘)步行30分鐘,2次/天,每周步行五天；空白對照組則不干預(yù)其日�；顒樱还策M(jìn)行6個月的治療。選用空腹血糖、餐后2小時血糖及糖化血紅蛋白作為觀察指標(biāo),于各組患者治療前、治療3個月、治療6個月分別對患者進(jìn)行評價(jià)。對治療前后的觀察指標(biāo)進(jìn)行組內(nèi)對比,明確各組療效；對各組間觀察指標(biāo)治療前后差值進(jìn)行組間對比,明確不同鍛煉方法優(yōu)劣及少林內(nèi)功的量效關(guān)系。研究結(jié)果各組患者干預(yù)前在年齡、性別、空腹血糖、餐后2h血糖及糖化血紅蛋白上的差異均無統(tǒng)計(jì)學(xué)意義(P0.05),各組間基線一致,具有可比性。少林內(nèi)功各組習(xí)練3個月及習(xí)練6個月后,患者各項(xiàng)指標(biāo)與干預(yù)前相比,差異均有顯著性意義(P0.01)�？崭寡堑慕M間對比,少林內(nèi)功各組均顯著優(yōu)于空白對照組(P0.01),少林內(nèi)功三組顯著優(yōu)于步行對照組(P0.01)；餐后2h血糖的組間對比,少林內(nèi)功各組均顯著優(yōu)于空白對照組(P0.01),少林內(nèi)功二組、少林內(nèi)功四組優(yōu)于步行對照組(P0.05),少林內(nèi)功三組顯著優(yōu)于步行對照組；糖化血紅蛋白的組間對比,少林內(nèi)功各組均顯著優(yōu)于空白對照組(P0.01),少林內(nèi)功三組、少林內(nèi)功四組顯著優(yōu)于步行對照組(P0.01)。量效關(guān)系上的對比少林內(nèi)功三組顯著優(yōu)于其余各組(P0.01)。研究結(jié)論少林內(nèi)功的習(xí)練可顯著改善患者的血糖控制：少林內(nèi)功習(xí)練可顯著改善患者空腹血糖、餐后2h血糖及糖化血紅蛋白水平,優(yōu)于健康宣教；在空腹血糖、餐后2h血糖的改善上,少林內(nèi)功習(xí)練3次/日優(yōu)于步行訓(xùn)練；糖化血紅蛋白改善上,少林內(nèi)功習(xí)練3次/日、4次/日優(yōu)于步行訓(xùn)練。量效關(guān)系分析揭示,少林內(nèi)功習(xí)練3次/日對2型糖尿病前期有著最佳療效。
[Abstract]:Objective to observe and evaluate the therapeutic effect of Shaolin internal work on type 2 diabetes mellitus at different frequencies, and to compare it with each other in order to clarify the dose-effect relationship.To provide reliable support for the clinical application of Shaolin Neigong in the early stage of type 2 diabetes.Methods Sixty patients with type 2 diabetes mellitus who met the inclusion criteria and did not meet the exclusion criteria were randomly divided into three groups: Shaolin internal work group, Shaolin inner work group, Shaolin internal work group, and Shaolin internal work group.There were 10 cases in walking control group and 10 cases in blank control group.The control group did not interfere with their daily activities and was treated for 6 months.Fasting blood glucose, 2 hours postprandial blood glucose and glycosylated hemoglobin were selected as observation indexes. The patients were evaluated before treatment for 3 months and 6 months for 6 months.The observation indexes before and after treatment were compared within the group to determine the efficacy of each group, and the differences between the observation indexes before and after treatment were compared among groups to determine the advantages and disadvantages of different exercise methods and the dose-effect relationship of Shaolin internal work.Results there were no significant differences in age, sex, fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin before intervention.After 3 months of training and 6 months of training in Shaolin, there were significant differences between the indexes of the patients and those before intervention (P 0.01).The comparison of fasting blood glucose in Shaolin group was significantly better than that in blank control group (P 0.01), Shaolin inner work group was significantly better than walking control group (P 0.01), and 2 h postprandial blood glucose level was higher in Shaolin group than that in control group.The internal work of Shaolin group was significantly better than that of the blank control group (P 0.01), the Shaolin inner work group 2, the Shaolin inner work group 4 superior to the walking control group (P 0.05), the Shaolin inner work group 3 significantly better than the walking control group, the comparison of glycosylated hemoglobin among groups,The internal work of Shaolin group was significantly better than that of the blank control group (P0.01), the Shaolin inner work group (3 groups) and the Shaolin inner work group (4 groups) were significantly better than the walking control group (P0.01).The comparison of the dose-effect relationship between the three groups was better than that of the other groups (P 0.01).Conclusion the practice of Shaolin internal work can significantly improve the blood glucose control of patients. Shaolin exercise can significantly improve the fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin level, which is superior to health education.The improvement of 2 h postprandial blood glucose, 3 times / day of Shaolin's inner work practice was better than that of walking training, and 3 times / day of Shaolin's internal practice was better than that of walking training, while the improvement of glycosylated hemoglobin was better than that of walking training 4 times a day.The analysis of dose-effect relationship revealed that Shaolin had the best effect in the early stage of type 2 diabetes.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

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