健身气功八段锦对糖耐量低减的干预效果研究

目的]探讨健身气功八段锦对糖耐量低减(IGT)患者生化指标的影响。方法]从广东省中医院体检中心选取89例IGT患者,随机分成A、B、C组,依次采用健康教育、健康教育+步行、健康教育+八段锦干预1 a,比较干预前后空腹血糖(FBG)、餐后2小时血糖(2 hBG)、糖化血红蛋白(HbA1C)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDLC)、胆固醇(TC)、甘油三酯(TG)的变化情况。结果]干预后,A组的FBG、2 h BG、LDL-C和B组的FBG、2 h BG、HbA1C、LDL-C、TG及C组的FBG、2 h BG、HbA1C、LDL-C、TC、TG均明显减少(P0.05或P0.01)。B组的2 h BG值明显低于A组(P0.05),C组的FBG、TC值明显低于A组(P0.05或P0.01),其他指标组间比较均无统计学意义(P0.05)。结论]健康教育特别是健康教育+八段锦等运动干预能明显降低IGT患者的血糖、糖化血红蛋白和血脂。

Effects of eight-sectional exercise in Qigong on prevention of decreased glucose tolerance

Objective] To investigate the influence of eight sectional exercise (Baduanjin) in Qigong on the biochemical criteria of patients with decreased glucose tolerance (IGT). Methods] Eighty-six patients with IGT from physical examination center of Guangdong Province Traditional Chinese Medical Hospital were selected. They were randomly divided into three groups of A, B, C and orderly interfered with health education, health education and walking, health education and Baduanjin for one year. The levels of fasting blood glucose (FBG), 2-hour postprandial blood glucose (2 h BG), glycosylated hemoglobin (HbA1C), low density lipoprotein (LDL-C), high density lipoprotein (HDL-C), cholesterol (TC) and triglyceride (TG) were compared before and after intervention. Results] Compared to that before intervention, FBG, 2 h BG, LDL-C in group A, FBG, 2 h BG, HbA1C, LDL-C and TG in group B, FBG, 2 h BG, HbA1C, LDL-C and TC in group C were decreased obviously (P<0.05 or P<0.01). The level of 2 h BG in Group B was significantly lower than that in group A (P<0.05). The level of FBG, TC in Group C was significantly lower than that in group A(P<0.05)and other indexes compared between groups were not statistically significant (P>0.05). Conclusion] Health education and health education with movement, especially Baduanjin can reduce the levels of blood glucose, glycosylated hemoglobin and blood fat in patients with IGT.