八段锦联合抗阻运动疗法对2型糖尿病的疗效分析  

Clinical Analysis of Baduanjin(八段锦) Combined with Resistance Exercise Therapy on Patients with Type 2 Diabetes

作　　者：何珂[1] 刘玲 卞荣蓉 姜燕[1] 胡源[1] 周惟强[1] 陆西宛[1] 朱丽华[1] ZHOU Wei-qiang;LU Xi-wan;ZHU Li-hua(Wuxi Hospital Affiliated to Nanjing University of Chinese Medicine,Wuxi Jiangsu 214000,China)

机构地区：[1]无锡市中医医院/南京中医药大学无锡附属医院

出　　处：《中医药导报》2019年第15期85-90,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省中医药局科技项目(YB2015077);无锡市卫生局科研项目(MS201519)

摘　　要：目的:探讨八段锦联合抗阻运动疗法对2型糖尿病患者临床疗效的影响。方法:将98例2型糖尿病患者随机分为4组,八段锦联合抗阻运动组(A组)、八段锦组(B组)、步行联合抗阻运动组(C组)和对照组(D组),分别于运动疗法12个月前后,评估4组患者身体形态指标、糖脂代谢、糖尿病并发症等综合指标变化。结果:12个月后,A组BMI显著低于C组、D组,B组BMI低于D组;A组腰围低于其余3组;A组、B组臀围显著低于D组;A组、B组皮褶厚度小于D组;A组、B组、C组体脂含量均小于D组。糖脂代谢方面,A组、B组、C组空腹血糖及餐后血糖、糖化血红蛋白A1c(HbA1c)均显著优于D组;A组TG水平较D组明显改善,A组、B组、C组CHO、LDL明显低于D组。A组下肢运动神经传导速度显著高于D组,A组上肢及下肢感觉神经传导速度均高于D组;A组双侧颈动脉内膜厚度明显低于D组;A组、C组足部感觉阈值优于D组。结论:八段锦联合抗阻运动能有效改善2型糖尿病患者身体形态指标、糖脂代谢及糖尿病并发症指标,综合疗效显著。Objective:To investigate the effects of aerobic exercise Baduanjin combined with resistance exercise therapy on clinical efficacy of patients with type 2 diabetes.Methods:The 98 patients with type 2 diabetes were randomly divided into four groups,Baduanjin combined with resistance exercise group(group A),Baduanjin group(group B),walking combined with resistance exercise group(group C)and control group(group D).The changes of body shape indicators,glucose and lipid metabolism,diabetic complications were evaluated before and after 12 months.Results:After 12 months,group A showed lower BMI than that in group C and D,and group B showed lower BMI than group D.Group A showed lower waist circumference than the other three groups.Group A and B showed lower hip circumference than group D.Group A and B showed thinner skinfold thickness than group D.Group A,B and C showed less body fat content than group D.Group A,B and C showed better levels of fasting and postprandial blood glucose,HbA1 c than group D.Group A showed better TG level than group D.Group A,B and C showed lower CHO and LDL than group D.Group A showed higher MCV of lower extremity than group D,as well as higher SCV of upper and lower extremities than group D.Group A showed lower thickness of bilateral carotid artery than group D.Group A and C showed better sensory threshold than group D.Conclusion:Baduanjin combined with resistance exercise therapy can improve body shape indicators,glucose and lipid metabolism,diabetic complications of type 2 diabetes patients effectively,with significantly comprehensive effect.

关 键 词：2型糖尿病 八段锦 抗阻运动 糖脂代谢 

分 类 号：R255.4[医药卫生—中医内科学]