中医养生功法对2型糖尿病患者症状自评量表评分的影响  

Effect of Different Qigong Practice on Symptom Checklist-90 Score in Patients with Type 2 Diabetes

作　　者：林颖娜[1] 王芳[1] 张容瑞[1] 洪兰[1] 赵阳[1] 倪青[1] 石井康智[2] 辻内琢也[2] 越川房子[2] 岸太一[3] 春木丰[2] 铃木晶夫 汪卫东[1] 

机构地区：[1]中国中医科学院广安门医院心理科,北京市100053 [2]日本早稻田大学 [3]日本东邦大学

出　　处：《中医杂志》2009年第5期419-421,共3页Journal of Traditional Chinese Medicine

基　　金：中华人民共和国科学技术部国际科技合作项目(2008DFA32010)

摘　　要：目的观察不同养生功法对2型糖尿病患者的辅助治疗作用以及心理的影响。方法将108例2型糖尿病患者随机分为动功组、动静组、静功组和对照组。动功组练习八段锦,静功组练习放松功,动静组同时练习八段锦和放松功,对照组不进行功法练习。所有患者在练功前、练功2个月、4个月后进行症状自评量表(SCL-90)评分以及空腹血糖(FBG)、糖化血红蛋白(HbAlc)含量的测定。结果共收集完整病例94例。练功4个月后,动功组的躯体化因子显著低于对照组(P<0.05);动功组的总分、躯体化、强迫症状、抑郁因子显著改善(P均<0.05);动静组的总分、强迫症状、敌对因子的改善有统计学意义(P<0.05或P<0.01)。FBG和HbAlc练功前后差异均无统计学意义。结论中医养生功法对2型糖尿病患者的异常心理状态有一定的改善作用,特别是八段锦在改善躯体化、强迫症状、抑郁等有较好的作用。Objective To observe the assistant therapeutic effect of different Qigong practice on type 2 diabetes patients and the influence on psychological state. Methods The 108 patients were randomized into movement Qigong group, movement-static Qigong group, static Qigong group, and control group. The movement Qigong group practiced Baduanjin. The static group practiced Relaxation. The movement-static Qigong group practiced Baduanjun and Relaxation. The control group, without Qigong practice, was only given routine medication. Before treatment, 2 and 4 months after Qigong practice, all patients were scored by Symptom Checklist-90 （SCL-90）, and their fasting blood glucose （FBG） and Glycosylated Hemoglobin （HbAlc） were determined. Results The data of 94 patients who completed treatment were collected. With four months of Qigong practice, the somatization factor in SCL-90 of movement Qigong group was obviously lower than that in the controll group （P〈0.05）. The total scores, somatization, obsessive-compulsive, and depression factor of movement Qigong group showed an obvious improvement and relieve （P〈0.05）. The total scores, obsessive-compulsive, and hostility factor of movement-static Qigong group were significantly different from those before treatment. While the difference in FBG and HbAlc before and after treatment was not significant. Conclusion Qigong practice improves the psy- chological state Of type 2 diabetes to a certain degree, especially Baduanjin is effective in relieving somatization, obsessive-compulsive, and depression.

关 键 词：养生功法 八段锦 放松功 2型糖尿病 症状自评量表 

分 类 号：R247.4[医药卫生—中医临床基础]