个性化饮食与抗阻训练干预对糖尿病合并冠心病患者病情控制及生活质量的影响  

Effects of individualized diet and impedance training intervention on the disease control and quality of life of patients with diabetes complicated with coronary heart disease

作　　者：李欣 LI Xin(Comprehensive Ward Cardiology Professional Group,Zaozhuang Municipal Hospital,Zaozhuang 277000,China)

机构地区：[1]枣庄市立医院综合病区心内专业组,277000

出　　处：《中国实用医药》2025年第5期151-155,共5页China Practical Medicine

摘　　要：目的研究个性化饮食与抗阻训练干预对糖尿病合并冠心病患者病情控制效果以及生活质量的影响。方法选择70例糖尿病合并冠心病患者,按照随机数字表法分为对照组(n=35)和观察组(n=35)。对照组实施个性化饮食干预以及有氧运动,观察组实施个性化饮食以及抗阻训练干预。对比两组干预前后血糖指标[空腹血糖(FBG)、餐后2 h血糖(2 h FPG)、血红蛋白(HbA1c)]、心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、6 min步行距离]、生活质量及心血管不良事件发生率。结果干预后,观察组的FBG、2 h FPG、HbA1c分别为(5.96±0.73)mmol/L、(8.67±0.86)mmol/L、(6.96±0.60)%,均低于对照组的(6.91±0.82)mmol/L、(10.90±1.39)mmol/L、(8.04±0.98)%,差异具有统计学意义(P<0.05);观察组的LVEF、LVEDD、LVESD、6 min步行距离分别为(47.06±5.35)%、(50.29±5.13)mm、(40.21±4.90)mm、(436.65±21.53)m,均优于对照组的(40.16±4.65)%、(55.01±4.35)mm、(46.59±5.43)mm、(342.52±16.51)m,差异具有统计学意义(P<0.05)。观察组干预后生理职能、社会功能、情感职能、生理机能、精神健康、精力、一般健康状况、躯体疼痛评分分别为(85.66±4.52)、(86.35±4.49)、(90.35±3.84)、(92.18±3.65)、(86.32±4.79)、(87.68±6.89)、(89.82±5.03)、(92.65±4.18)分,均高于对照组的(72.65±4.19)、(75.19±4.08)、(79.35±3.91)、(78.35±3.46)、(71.52±4.36)、(80.13±6.23)、(79.68±4.98)、(83.35±4.12)分,差异具有统计学意义(P<0.05)。观察组心血管不良事件发生率为0(0/35),低于对照组的11.43%(4/35),差异具有统计学意义(P<0.05)。结论糖尿病合并冠心病患者通过个性化饮食与抗阻训练干预,可控制患者病情,提升其生活质量,值得推广。Objective To study the effect of individualized diet and impedance training intervention on the disease control and quality of life of patients with diabetes complicated with coronary heart disease.Methods 70 patients with diabetes complicated with coronary heart disease were selected.They were grouped into a control group(n=35)and an observation group(n=35)according to the random number table method.The control group implemented individualized diet intervention and aerobic exercise,while the observation group implemented individualized diet and impedance training intervention.Comparison of blood glucose indicators[fasting blood glucose(FBG),2-h postprandial blood glucose(2-h FPG),hemoglobin(HbA1c)]and cardiac function indicators[left ventricular ejection fraction(LVEF),left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),6-min walking distance]and quality of life before and after the intervention,and incidence of cardiovascular adverse events.Results After intervention,FBG,2 h FPG and HbA1c in the observation group were(5.96±0.73)mmol/L,(8.67±0.86)mmol/L and(6.96±0.60)%,which were lower than(6.91±0.82)mmol/L,(10.90±1.39)mmol/L and(8.04±0.98)%in the control group,and the difference was statistically significant(P<0.05).LVEF,LVEDD,LVESD and 6-min walking distance of the observation group were(47.06±5.35)%,(50.29±5.13)mm,(40.21±4.90)mm and(436.65±21.53)m,which were better than(40.16±4.65)%,(55.01±4.35)mm,(46.59±5.43)mm and(342.52±16.51)m of the control group,and the difference was statistically significant(P<0.05).After the intervention,the scores of role-physical,social function,role-emotional,physical function,mental health,energy,general health and bodily pain in the observation group were(85.66±4.52),(86.35±4.49),(90.35±3.84),(92.18±3.65),(86.32±4.79)and(87.68±6.89),(89.82±5.03)and(92.65±4.18)points,which were higher than(72.65±4.19),(75.19±4.08),(79.35±3.91),(78.35±3.46),(71.52±4.36),(80.13±6.23),(79.68±4.98)and(83.35±4.12)points in the cont

关 键 词：个性化饮食 抗阻训练 冠心病 糖尿病 病情控制效果 生活质量 

分 类 号：R54[医药卫生—心血管疾病]