八段锦联合抗阻运动对老年2型糖尿病患者糖脂代谢、氧化应激及生活质量的影响  

Effects of Baduanjin Combined with Resistance Exercise on Glucose and Lipid Metabolism,Oxidative Stress and Quality of Life in Elderly Patients with Type 2 Diabetes

作　　者：李夏林 胡斌 张一 胡娟 余娇 彭诗敏 Xia-lin;HU Bin;ZHANG Yi;HU Juan;YU Jiao;PENG Shi-min(Department of Geriatrics,Three Gorges Hospital Affiliated to Chongqing University,Chongqing,404000,China;Department of Gastroenterology,Three Gorges Hospital Affiliated to Chongqing University,Congqing,404000,China)

机构地区：[1]重庆大学附属三峡医院老年病科,重庆404000 [2]重庆大学附属三峡医院消化内科,重庆404000

出　　处：《现代生物医学进展》2023年第11期2144-2148,共5页Progress in Modern Biomedicine

基　　金：重庆市卫生计生委医学科研项目(2017MSMX0385)。

摘　　要：目的:探讨八段锦联合抗阻运动对老年2型糖尿病(T2DM)患者糖脂代谢、氧化应激及生活质量的影响。方法:选取2021年4月~2022年5月期间在我院接受治疗的老年T2DM患者238例。按照随机数字表法分为对照组(在常规治疗的基础上,接受抗阻运动干预,119例)和联合组(在对照组的基础上,接受八段锦干预,119例)。观察两组糖脂代谢、氧化应激及生活质量的改善情况。结果:干预12周后,联合组体质量指数、腰臀比低于对照组(P<0.05)。干预12周后,联合组空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbAlc)低于对照组(P<0.05)。干预12周后,联合组高密度脂蛋白胆固醇(HDL-C)高于对照组(P<0.05),低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG)低于对照组。干预12周后,联合组丙二醛(MDA)低于对照组,超氧化物歧化酶(SOD)、过氧化氢酶(CAT)高于对照组(P<0.05)。干预12周后,联合组的健康调查简表(SF-36)各维度评分均高于对照组(P<0.05)。结论:八段锦联合抗阻运动用于老年T2DM患者中,可有效改善患者的氧化应激、糖脂代谢,并提高患者的生活质量。Objective:To explore the effects of Baduanjin combined with resistance exercise on glucose and lipid metabolism,oxidative stress and quality of life in elderly patients with type 2 diabetes(T2DM).Methods:238 cases of elderly patients with T2DM who were treated in our hospital from April 2021 to May 2022 were selected.According to the method of random number table,they were divided into the control group(on the basis of conventional treatment,they received resistance exercise intervention,119 cases)and the combined group(on the basis of the control group,they received Baduanjin intervention,119 cases).The improvement of glucose and lipid metabolism,oxidative stress and quality of life in the two groups were observed.Results:12 weeks after intervention,body mass index and waist hip ratio in the combined group were lower than those in the control group(P<0.05).12 weeks after intervention,fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG)and glycosylated hemoglobin(HbAlc)in the combined group were lower than those in the control group(P<0.05).12 weeks after intervention,high-density lipoprotein cholesterol(HDL-C)in the combined group was higher than that in the control group(P<0.05),while low-density lipoprotein cholesterol(LDL-C),total cholesterol(TC),and triglyceride(TG)were lower than those in the control group.12 weeks after intervention,malondialdehyde(MDA)in the combined group was lower than that in the control group,while superoxide dismutase(SOD)and catalase(CAT)were higher than those in the control group(P<0.05).12 weeks after intervention,the scores of all dimensions of the MOS 36-item short-form health survey(SF-36)in the combined group were higher than those in the control group(P<0.05).Conclusion:Baduanjin combined with resistance exercise in elderly patients with T2DM can effectively improve the oxidative stress,glucose and lipid metabolism,and improve the quality of life of patients.

关 键 词：八段锦 抗阻运动 老年 2型糖尿病 糖脂代谢 氧化应激 生活质量 

分 类 号：R587.1[医药卫生—内分泌]