短期运动干预对合并2型糖尿病的手术患者术前血糖的影响  

Effect of Short-term Exercise Intervention on Preoperative Blood Glucose in Surgical Patients with Type 2 Diabetes

作　　者：任安莹 REN Anying(Department of Orthopedics,Caoxian People's Hospital,Heze,Shandong Province,274400 China)

机构地区：[1]曹县人民医院骨科,山东菏泽274400

出　　处：《糖尿病新世界》2022年第2期51-54,共4页Diabetes New World Magazine

摘　　要：目的分析短期运动干预对合并2型糖尿病的手术患者术前血糖产生的影响。方法将2018年1月—2020年12月期间在该院接受治疗的90例2型糖尿病患者作为该次研究对象,按照入院单双号时间差异将患者划分为观察组和对照组,每组45例。对照组采用常规术前护理干预措施,观察组在此基础上设定相应的频率、强度、类型之后开展运动干预,时间为术前7 d。运动干预结束后对患者展开血糖指标和动态血糖监测。结果观察组的空腹血糖值为(7.2±0.6)mmol/L、餐后2 h血糖值为(10.7±1.1)mmol/L,均明显低于对照组,差异有统计学意义(P<0.05);观察组的平均血糖(MBG)为(9.0±0.9)mmol/L、最大血糖波动幅度(LAGE)为(5.1±0.4)mmol/L,优于对照组,差异有统计学意义(P<0.05)。结论短期运动干预可以帮助合并2型糖尿病的患者进行术前血糖改善,为患者提供更加良好的术前条件。Objective To analyze the effect of short-term exercise intervention on preoperative blood glucose in surgical patients with type 2 diabetes.Methods Ninety patients with type 2 diabetes who were treated in the hospital from January 2018 to December 2020 were taken as the subjects of this study.The patients were divided into observation group and control group according to the time difference between the odd and even numbers of the patients,with 45 cases in each group.The control group adopted routine preoperative nursing intervention measures,and the observation group carried out exercise intervention after setting the corresponding frequency,intensity,and type on this basis,and the time was 7 d before the operation.After the exercise intervention was over,the patients were monitored for blood glucose indicators and dynamic blood glucose.Results The fasting blood glucose value of the observation group was(7.2±0.6)mmol/L and the blood glucose value of 2 h after meal(10.7±1.1)mmol/L were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The mean blood glucose(MBG)of the observation group was(9.0±0.9)mmol/L,and the maximum blood glucose fluctuation range(LAGE)was(5.1±0.4)mmol/L,which was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Short-term exercise intervention can help patients with type 2 diabetes to improve preoperative blood glucose and provide patients with better preoperative conditions.

关 键 词：短期运动干预 2型糖尿病 术前血糖 动态血糖监测 MBG LAGE 

分 类 号：R587.1[医药卫生—内分泌]