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60例2型糖尿病患者随机分为两组,对照组在平衡膳食、原有药物治疗的基础上,接受糖尿病专科护士常规运动指导。实验组在常规运动指导基础上由患者选择一名同伴结伴运动。观察两组患者在实施运动治疗前和干预一年后患者运动依从性、APO、HCY及FIB的变化。结果:干预一年后实验组患者运动依从性较对照组明显提高。实验组干预后体质指数(BMI)、糖化血红蛋白(Hb A1c)、APO-B、APO-B/APO-A1、HCY及FIB较干预前均显著降低,APO-A1显著增高(P<0.05)。干预后两组比较,实验组效果更明显,BMI、Hb A1c、APO-B、APO-B/APO-A1及FIB较对照组显著降低,APO-A1显著增高,差异均有统计学意义(P<0.05)。结论:同伴支持运动可以提高2型糖尿病患者运动依从性;并有利于改善糖尿病患者体质指数、血糖、载脂蛋白及纤维蛋白原,从而减缓动脉粥样硬化的发生,有利于糖尿病并发症的控制。
Sixty patients with type 2 diabetes mellitus were randomly divided into two groups. The control group received regular exercise instruction from diabetic nurses on the basis of balanced diet and original drug therapy. The experimental group was selected by the patient on the basis of routine exercise guidance. The changes of motor compliance, APO, HCY and FIB of patients in two groups before and after one year intervention were observed. Results: One year after intervention, the exercise compliance of experimental group was significantly higher than that of control group. The body mass index (BMI), HbA1c, APO-B, APO-B / APO-A1, HCY and FIB in experimental group were significantly lower than those before intervention and APO-A1 was significantly increased (P <0.05). Compared with the control group, BMI, HbA1c, APO-B, APO-B / APO-A1 and FIB were significantly decreased and APO-A1 was significantly increased after intervention <0.05). CONCLUSION: Peer support exercise can improve exercise compliance in patients with type 2 diabetes, improve body mass index, blood glucose, apolipoprotein and fibrinogen in patients with diabetes mellitus, thereby reducing the occurrence of atherosclerosis and controlling diabetic complications .