中医特色护理联合太极拳对2型糖尿病患者糖脂代谢的影响  

Effect of Traditional Chinese Medicine Characteristic Nursing Combined with Taichi on Glucose and Lipid Metabolism in Patients with Type 2 Diabetes Mellitus

作　　者：胡慧娴 张露露[1] 郑旋玲[1] HU Huixian;ZHANG Lulu;ZHENG Xuanling(Department of Endocrine Diabetes,the First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China)

机构地区：[1]厦门大学附属第一医院内分泌糖尿病科,福建厦门361003

出　　处：《糖尿病新世界》2025年第1期124-127,共4页Diabetes New World

摘　　要：目的探究中医特色护理联合太极拳在2型糖尿病(type 2 diabetes mellitus,T2DM)患者中的应用效果。方法选取2022年9月—2023年1月厦门大学附属第一医院收治的80例T2DM患者为研究对象,根据护理方案的不同分为两组,各40例。对照组给予常规护理,观察组在对照组基础上给予中医特色护理联合太极拳护理。对比两组糖代谢指标[糖化血红蛋白(glycated hemoglobin A1c,HbA1c)、空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postprandial plasma glucose,2 hPG)]、脂代谢指标[总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)]、糖尿病患者自我管理行为量表(Summary of Diabetes Self Care Activities,SDSCA)评分、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分。结果干预后,观察组HbA1c、FPG、2 hPG、TG、TC水平、SAS评分均低于对照组,HDL-C水平、SDSCA评分均高于对照组,差异均有统计学意义(P均<0.05)。结论太极拳与中医特色护理联合干预可改善T2DM患者情绪状态,增强其自我管理能力,稳定其糖脂代谢水平。Objective To explore the application effect of traditional Chinese medicine characteristic nursing combined with Taichi in patients with type 2 diabetes mellitus(T2DM).Methods A total of 80 T2DM patients admitted to the First Affiliated Hospital of Xiamen University from September 2022 to January 2023 were selected as the research objects.According to the different nursing plans,they were divided into two groups,with 40 cases in each group.The control group was given routine nursing,and the observation group was given traditional Chinese medicine characteristic nursing combined with Taichi nursing on the basis of the control group.The indexes of glucose metabolism[glycated hemoglobin A1c(HbA1c),fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG)],lipid metabolism indicators[total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C)],Summary of Diabetes Self Care Activities(SDSCA)and Self-rating Anxiety Scale(SAS)were compared between the two groups.Results After the intervention,the levels of HbA1c,FPG,2 hPG,TG,TC and SAS score of the observation group were lower than those of the control group,and the HDL-C level and SDSCA score were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Taichi combined with traditional Chinese medicine characteristic nursing intervention can improve the emotional state of T2DM patients,enhance their self-management ability,and stabilize their glucose and lipid metabolism level.

关 键 词：中医 护理 太极拳 2型糖尿病 

分 类 号：R248[医药卫生—中医临床基础]