运动疗法对2型糖尿病患者血糖、血脂的影响  

Influence of exercise therapy on blood sugar and blood lipids of type 2 diabetic patients

作　　者：李迎光[1] 董幼平[2] 

机构地区：[1]宁夏医科大学总医院康复合作定点医院,750002 [2]宁夏医科大学总医院内分泌科,750004

出　　处：《中国疗养医学》2013年第3期207-209,共3页Chinese Journal of Convalescent Medicine

基　　金：宁夏医科大学科学研究基金资助项目(XM201036)

摘　　要：目的探讨运动疗法对2型糖尿病患者血糖、血脂的影响,为2型糖尿病的临床康复治疗提供依据。方法选择60例2型糖尿病患者,随机分为治疗组(n=30)和对照组(n=30),两组患者均予常规药物治疗并控制饮食连续4周,治疗组在此基础上做适量运动,5次/周,30min/次,共4周,两组均在治疗4周前后测定血糖、血脂水平。结果治疗组治疗4周后,空腹血糖、餐后2h血糖、胆固醇、三酰甘油较治疗前明显下降(P<0.05),高密度脂蛋白较前明显升高(P<0.05)。对照组患者在此期间除空腹血糖、餐后2h血糖外,血脂的各项观察指标虽有变化,但差异无统计学意义(P>0.05)。将两组治疗4周后各自的血糖、血脂参数减去治疗前的相应数值,然后进行比较,结果两组空腹血糖、餐后2h血糖差异具有统计学意义(P<0.05),而血脂的各项观察指标差异则无统计学意义。结论运动疗法能有效降低2型糖尿病患者的空腹血糖、餐后血糖和血脂,优于单纯药物和饮食控制。Objective To observe the influence of exercise therapy on blood sugar and blood lipids of type 2 diabetic patients, and provide the basis for clinical rehabilitation therapy for type 2 diabetic patients. Methods Sixty patients with type 2 diabetes were randomly divided into treatment group（n = 30）and the control group（n = 30）, both groups were given conventional medical treatment and four continuous weeks of diet control, and the treatment group were given extra adequate exercise on this basis for 5 times per week, 30 minutes each time ,4 weeks.The patients in both groups were measured in blood sugar and fat levels before and after treatment.Results After 4 weeks of treatment, the fasting blood glucose, 2 h postprandial glucose, cholesterol, triglyceride in the treatment group remarkably reduced compared with those before treatment （P 〈 0.05）, high-density lipoprotein was distinctly higher than that before treatment （P 〈 0.05）.In the control group, the observation targets during this period except fasting blood glucose, 2 h postprandial glucose, though changed, the differences were not of statistical signiflcance（P〉0.05）.The two groups after 4 weeks of treatment their blood sugar, blood lipids parameters minus the corresponding numerical values before treatment, and then comparison was made in the two groups, which showed the differences in fasting blood glucose,2 h postprandial glucose were of statistical significance（P〈0.05）,and the differences of observation targets in blood lipids were not of statistical significance.Conclusion Exercise therapy can effectively reduce fasting blood glucose, postprandial blood sugar and blood lipids of type 2 diabetic patients, which is superior to pure drugs and diet control.

关 键 词：运动疗法 2型糖尿病 血糖 血脂 

分 类 号：R587.1[医药卫生—内分泌]