运动疗法干预2型糖尿病患者的情绪及其睡眠质量  

Influence of exercise therapy on emotion and quality of sleep in type 2 diabetic patients

作　　者：王九云[1] 侯素芳[1] 张立[1] 

机构地区：[1]安阳钢铁集团公司职工总医院内科,河南省安阳市455004

出　　处：《中国临床康复》2005年第23期4-5,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察运动疗法干预对2型糖尿病患者情绪及睡眠质量的影响。方法:以2003-01/2004-01安阳钢铁集团公司职工总医院内科收治的2型糖尿病患者为观察对象。纳入者均符合1997年美国糖尿病学会标准。共纳入40例,随机分为运动组与对照组各20例。运动组常规治疗下开展计划性运动训练,运动形式:功率车、舞蹈及户外慢跑、步行、骑自行车、爬楼梯等有氧运动。运动强度:运动后靶心率达到170减年龄;以运动后有微汗、轻松愉快,食欲、睡眠良好。运动时间:一般选择在餐后1h,每周三四次,1h/次,也可分3次活动,20min/次,达到靶心率的累计时间一般以20～30min为宜。预备时间不少于10min,运动后的整理运动10～15min。对照组治疗方式与运动组相同,但不参加运动训练,而以个人意愿进行活动。运动前后均采用睡眠质量调查量表及症状自评量表评估患者睡眠质量及心理情绪。结果:按意向性处理分析,40例患者均参与该项实验,无脱落者。实验前运动组与对照组症状自评量表及睡眠质量总分调查表评估结果基本相同,两组患者入院时空腹血糖、餐后2h血糖进行比较,具有可比性(P>0.05)。运动组2型糖尿病患者运动后的情绪改善明显,症状自评量表总分值(135.83±24.68)明显低于对照组(152.99±26.56)(t=2.59,P<0.05)。运动后2型糖尿病患者睡眠情况明显改善,睡眠质量总分为(3.38±0.69),明显低于对照组(5.02±0.86)(t=3.88,P<0.01)。运动后患者空腹及餐后2h血糖值为(6.30±1.32),(7.80±1.44)mmol/L,均低于对照组犤(7.75±1.81),(9.51±1.86)mmol/L犦(t=3.06,3.23,P<0.01)。结论:运动疗法不仅具有降糖作用,对2型糖尿病患者情绪及睡眠质量也有积极的影响。AIM:To observe the influence of exercise therapy on the emotion and the quality of sleep in patients with type 2 diabetes mellitus.METHODS:The patients with type 2 diabetes mellitus who were hospitalized in the Department of Internal Medicine,Employee's General Hospital of Anyang Iron & Steel Group were used as our studying subjects between January 2003 and January 2004.Forty type 2 diabetes mellitus patients accordant with the criteria by American Diabetes Association in 1997 were included in our study.They were randomly divided into exercise therapy group and control group with 20 in each.All the patients received routine treatment,besides those in the exercise therapy group took part in the programmed exercise training such aerobic exercise as cycle ergometer,dancing,outdoor jogging,walking,bicycling,going to/down stairs.The exercise intensity:target heart rate after exercise reached 170 minus patient's age beats per minute,manifesting by a little sweat,lightening and happiness,good appetite and sleep;The time of exercise began commonly from the first hour after dinner,one hour at a time or 20 minutes at a time for 3 times,3 to 4 times a week,and the total time for target heart rate was optimal between 20 and 30 minutes ordinarily.The preparing time for warming-up exercise should be equal to or more than 10 minutes,and the time for warming-down exercise should be betwicn 10 and to 15 minutes.The patients in the control group attended to exercise voluntarily.The emotion and quality of sleep of the patients were assessed with sleep quality inventory scale and symptom checklist(SCL) before and after exercise.RESULTS:According to intention-to-treat,all the 40 patients were analyzed in the result without loss.The scores of SCL and sleep quality inventory scale were similar in the two groups before experiment.The fasting blood glucose(FBG) and 2-hour postprandial glucose when hospitalization were comparable between the two groups(P > 0.05).The emotion was obviously ameliorated in type 2 diabetes mellitus patients in

关 键 词：糖尿病 非胰岛素依赖型 情绪 睡眠 运动 血糖 

分 类 号：R587.1[医药卫生—内分泌]