全身振动训练对老年糖尿病周围神经病变病人的影响  

Effects of whole body vibration on the elderly patients with diabetic peripheral neuropathy

作　　者：郭艮春 李万浪 朱振华 邵新 郭建业 GUO Gen-chun;LI Wan-lang;ZHU Zhen-hua;SHAO Xin;GUO Jian-ye(Department of Rehabilitation Medicine,Sixth Affiliated Hospital of Nantong University,Yancheng 224002,China;Department of Rehabilitation Medicine,Zhongda Hospital Affiliated to Southeast University,Nanjing 210009,China)

机构地区：[1]南通大学第六附属医院(盐城市第三人民医院)康复医学科,江苏省盐城市224002 [2]东南大学附属中大医院康复医学科,江苏省南京市210009

出　　处：《实用老年医学》2023年第5期454-458,共5页Practical Geriatrics

基　　金：南通大学临床研究专项青年项目(2019LQ005)。

摘　　要：目的探讨全身振动训练对老年糖尿病周围神经病变病人血糖控制、平衡功能及下肢肌力的影响。方法2018年5月至2020年10月,81例老年糖尿病周围神经病变病人随机分为对照组(n=40)和试验组(n=41)。2组病人均接受常规药物治疗、有氧运动训练及饮食指导。对照组接受假性全身振动训练,试验组接受全身振动训练,共12周。治疗前后,检测病人的FPG、HbA1c水平,并采用Pro-Kin 254平衡仪中睁眼、闭眼平衡功能测试,“起立-行走”计时测试及30 s椅子站立试验评估训练效果。结果治疗后,试验组FPG、HbA1c水平,Pro-Kin 254平衡仪闭眼测试的运动轨迹长度和椭圆面积、“起立-行走”计时测试、30 s椅子站立试验结果均较治疗前明显改善(P<0.05),且均显著优于对照组(P<0.05)。结论全身振动训练可有效改善老年糖尿病周围神经病变病人血糖及HbA1c水平,增强平衡功能及下肢肌力。Objective To explore the effects of whole body vibration(WBV)on blood glucose control,balance function and lower limb muscle strength in the elderly patients with diabetic peripheral neuropathy(DPN).Methods From May 2018 to October 2020,81 elderly patients with DPN were randomly divided into control group(n=40)and experimental group(n=41).Both groups received the routine medication management,aerobic exercise and dietary guidance.The experimental group received aerobic exercise training combined with WBV which was performed on a vibration machine,whereas the control group performed the same aerobic exercise training without using WBV.Before and after the intervention,the levels of fasting plasma glucose(FPG)and glycosylated hemoglobin(HbA1c)in both groups were detected,and all patients received balance function test under eye-opened and eye-closed condition using Pro-Kin 254 balance assessment equipment,timed Up and Go test and 30-second chair stand test.Results After intervention,the levels of FPG and HbA1c,the results of sway length and area in the eye-closed test,timed Up and Go test and 30-second chair stand test were improved in experimental group(P<0.05),and significantly higher than those in control group(P<0.05).Conclusions WBV can significantly improve the levels of plasma glucose,HbA1c,balance ability and lower extremity muscle strength in the elderly with DPN.

关 键 词：糖尿病 周围神经病变 全身振动 平衡功能 

分 类 号：R587.2[医药卫生—内分泌]