2型糖尿病患者体感运动联合神经肌肉穴位电刺激干预效果评价  

Effect of somatosensory motor combined with neuromuscular acupoint electrical stimulation on motor function and blood glucose among patients with type 2 diabetes mellitus

作　　者：汤洋[1] 李琳[1] 廖兴 林坚[1] TANG Yang;LI Lin;LIAO Xing;LIN Jian(Center of Physical Therapy and Rehabilitation,Zhejiang Hospital,Hangzhou,Zhejiang 310013,China)

机构地区：[1]浙江医院康复治疗中心,浙江杭州310013

出　　处：《预防医学》2022年第8期794-798,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江中医药科研基金项目(2019ZB002)。

摘　　要：目的评价高强度间歇体感运动联合神经肌肉穴位电刺激对2型糖尿病(T2DM)患者血糖水平和运动能力的干预效果,为预防T2DM患者日常生活失能提供参考。方法选择2019年1月—2021年10月在浙江医院治疗的T2DM患者为研究对象,随机分配入4组:K组实施Kinect体感交互技术辅助的高强度间歇运动;N组实施神经肌肉穴位电刺激;KN组实施高强度间歇体感运动联合神经肌肉穴位电刺激;C组不施加任何干预。分别在干预前、干预后4周和12周测定患者餐后2 h血糖(2 h PG),糖化血红蛋白(HbA1c),以及2.4 m起身绕行试验、2 min踏步试验等7项体适能测试;采用广义估计方程比较4组患者干预前后的血糖和运动能力,评价干预效果。结果纳入T2DM患者199例,KN组51例,K组49例,N组52例,C组47例。干预前4组患者的性别、年龄、病程、平时运动时间、腰臀比、肺活量和最大摄氧量比较,差异均无统计学意义(P>0.05)。干预后,4组患者血糖和运动指标均存在时间与组别交互作用(P<0.05),KN组变化幅度最大,干预12周后HbA1c、2 h PG、2.4 m起身绕行试验和抓背试验结果分别下降了17.06%、27.01%、36.52%和20.94%,2 min踏步试验、30 s坐站试验、30 s负重屈肘试验、6 min步行试验和座椅体前屈试验分别上升18.85%、34.69%、15.41%、7.22%和112.37%。结论高强度间歇性体感运动联合神经肌肉穴位电刺激可改善T2DM患者血糖水平和运动能力。Objective To evaluate the effect of high-intensity interval somatosensory training combined with neuromuscu⁃lar acupoint electrical stimulation on blood glucose and motor function among patients with type 2 diabetes mellitus(T2DM),so as to provide insights into prevention of daily life disability among T2DM patients.Methods T2DM pa⁃tients treated in Zhejiang Hospital during the period from January 2019 to October 2021 were enrolled and randomly as⁃signed into four groups.Patients in the K group received Kinect somatosensory interaction technology-assisted high-inten⁃sity interval training,patients in the N group received neuromuscular acupoint electrical stimulation,and patients in the KN group received high-intensity interval somatosensory training combined with neuromuscular acupoint electrical stimula⁃tion,while patients in the C group were given no interventions.The 2 h postprandial plasma glucose and glycated hae⁃moglobin(HbA1c)levels were measured prior to interventions and 4 and 12 weeks post-interventions,and seven physi⁃cal fitness tests were performed.The blood glucose levels and motor activity were compared among four groups using generalized estimating equations to evaluate the effectiveness of interventions.Results Totally 199 T2DM patients were enrolled,including 51 patients in the KN group,49 patients in the K group,52 patients in the N group and 47 pa⁃tients in the C group.There were no significant differences in gender,age,course of disease,duration of daily exercis⁃es,waist-to-hip ratio,vital capacity or maximal oxygen uptake among the four groups prior to interventions(all P>0.05).There were time-group interaction effects in blood glucose and exercise parameters among the four groups post-in⁃terventions(all P>0.05),with the largest changes seen in the KN group.The HbA1c,2 h postprandial plasma glucose,2.4 m standing and detour test and back scratch test results reduced by 17.06%,27.01%,36.52%and 20.94%12 weeks post-interventions as compared to those prior to interventions,wh

关 键 词：2型糖尿病 高强度间歇性运动 体感技术 神经肌肉电刺激 血糖 体适能 

分 类 号：R589[医药卫生—内分泌]