社区糖尿病患者运动干预效果评价

目的 :观察长期定量运动对 2型糖尿病患者的疗效 ,探讨运动对糖尿病高危因素等指标的影响。方法 :对本市某社区 35 - 74岁常住居民进行入户问卷调查 ,同时对该社区有糖尿病高危因素的人群进行静脉血糖检测 ,筛选出 2型糖尿病患者 52名 ,经心电图、尿常规、眼科等检查排除运动禁忌证 ,最后有 2 7名糖尿病患者参与了为期一年的运动干预治疗 ,同时选另一社区的 2 9名 2型糖尿病患者作为对照组。结果 :一年运动治疗后干预组的空腹血糖较一年前有显著降低 ,平均降低 1 .75mmol/L ,与对照组同期空腹血糖变化相比有显著差异。运动干预后 2型糖尿患者的甘油三酯和胆固醇水平降低明显 ,HDL Ch水平虽有所升高 ,但差异不显著。干预组的体重指数、腰臀比和血压在干预前均超过正常值 ,一年干预后都有显著下降。结论 :运动一是项有效控制糖尿病患者血糖的治疗手段 ,长期中等强度运动能降低糖尿病危险因素水平 ,这对预防糖尿病并发症的发生有重要作用

Evaluation of exercise interferential effects on diabetic patients in community

Objective:To observe the therapeutic effects of long term quantitative exercise and its influence on diabetic risk factors to type 2 diabetic patients?Method:Indoors questionnaire survey were carried out among the residents aged 35-74 in one community of Shanghai and venous blood glucose test on people who had risk factors.Totally,52 type 2 diabetic patients were found out.After EKG,uric routine examination and ophthalmic examination we wipe off the patients who had exercise contraindication.Finally,27 patients participated one-year interference.29 type 2 diabetic patients in the other community were selected as control.Result:It showed that fasting blood glucose(FBG) of interfered group (IG) decreased significantly after one-year exercise.It decreased by average 1.75 mmol/L.Compared with control group (CG),FBG of IG had a marked fall.Exercise resulted in an obvious decrease in TG and Tch level of IG and didnt cause a significant increase in HDL-ch.Before interference,BMI,WHR and blood pressure were all beyond normal value,but after interference they all decreased.Conclusion: Our research proved that exercise in an effective treatment to control blood glucose on diabetic patients.Long-term medical degree exercise could cause a fall in diabetic risk factor,which could be important to prevent diabetic complications.