中医适宜技术回春功干预糖尿病前期的效果评价
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摘要
目的评价中医适宜技术回春功干预糖尿病前期的临床效应。方法选取社区糖尿病前期患者60例,采取随机分组原则,分为干预组和对照组两组,干预组在常规社区综合干预的基础上给予中医适宜技术回春功的集中强化教练3个月,随访督导9个月,对照组常规半年一次的健康宣教、饮食指导等社区综合干预,观察两组试验前后的身体质量指数(BMI)、腰臀比、空腹血糖(FBG)、口服葡萄糖耐量试验(OGTT)2小时血糖和糖化血红蛋白(HbA1c)变化情况。结果干预组腰臀比、空腹血糖(FBG)、OGTT 2小时血糖均有所下降(P<0.05),与对照组差异有统计学意义(P <0.05)。结论中医适宜技术回春功可有效降低糖尿病前期患者的血糖水平,对糖尿病预防和早期治疗有重大意义。
Objective To evaluate the clinical effect of traditional Chinese medicine(TCM) suitable technology of return to spring on the intervention of patients with pre-diabetes mellitus. Methods 60 patients with prediabetes mellitus in community were randomly divided into two groups:intervention group and control group. The intervention group was given intensive training of TCM suitable technology of return to spring for 3 months on the basis of conventional community comprehensive intervention and followed up for 9 months. The health education and diet instruction were conducted in the control group. Body mass index(BMI),fasting blood glucose(FBG), OGTT 2 hour blood glucose and glycosylated hemoglobin(HbA1c) were observed in both groups before and after the experiment. Results The waist-hip ratio, fasting blood glucose(FBG) and OGTT 2-hour blood glucose in the intervention group all decreased(P <0.05). There was significant difference between the two groups(P < 0.05).Conclusion TCM suitable technology of return to spring can effectively reduce the blood glucose level of prediabetic patients, which is of great significance for the prevention and early treatment of diabetes.
Objective To evaluate the clinical effect of traditional Chinese medicine(TCM) suitable technology of return to spring on the intervention of patients with pre-diabetes mellitus. Methods 60 patients with prediabetes mellitus in community were randomly divided into two groups:intervention group and control group. The intervention group was given intensive training of TCM suitable technology of return to spring for 3 months on the basis of conventional community comprehensive intervention and followed up for 9 months. The health education and diet instruction were conducted in the control group. Body mass index(BMI),fasting blood glucose(FBG), OGTT 2 hour blood glucose and glycosylated hemoglobin(HbA1c) were observed in both groups before and after the experiment. Results The waist-hip ratio, fasting blood glucose(FBG) and OGTT 2-hour blood glucose in the intervention group all decreased(P <0.05). There was significant difference between the two groups(P < 0.05).Conclusion TCM suitable technology of return to spring can effectively reduce the blood glucose level of prediabetic patients, which is of great significance for the prevention and early treatment of diabetes.
引文
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[10]游鸿,张彤.“治未病”思想在糖尿病前期防治中的应用[J].亚太传统医药,2018,14(1):44-45.
[11]胡文斌,张婷,张小花,等.2016年昆山市糖尿病前期患病情况及其影响因素分析[J].现代预防医学,2018,45(3):437-442.
[12]姜继权,夏小慧,王卉,等.不同运动干预方式对糖尿病前期人群血糖相关指标影响的Meta分析[J].中国应用生理学杂志,2017,33(2):189-192.
[13]李博文,贾冕,张宁宁,等.有氧运动对糖尿病前期人群血浆代谢物的影响[J].中国运动医学杂志,2018,37(4):301-308.
[14]罗祖纯,戴霞,麻晓君,等.有氧和抗阻运动对糖尿病前期人群HbA1c及血糖的影响[J].重庆医学,2017,46(8):1148-1150.
[15]商月辉,商亚丽,蔡艳芳,等.八段锦与健步走在糖尿病前期人群中应用效果的比较研究[J].护理研究,2017,31(35):4555-4557.
[16]杨京辉,汪亚群,楼青青,等.高强度间歇运动对糖尿病前期患者糖脂代谢的影响[J].中国康复医学杂志,2017,32(8):907-911,937.
[2]Garber AJ,Abrahamson MJ,Barzilay JI,et al.AACE/ACEcomprehensive diabetes management algorithm 2015[J].Endocr Pract,2015,21(4):438-447.
[3]Song X,Qiu M,Zhang X,et al.Gender-related affecting factors of prediabetes on its 10-year outcome[J].BMJ Open Diabetes Res Care,2016,4(1):e000169.
[4]True MW,Strickland LE,Lewi JE,et al.Impact of a diabetes risk score on lifestyle education and patient adherence(IDEA)in Prediabetes:a multisite randomized controlled trial[J].Mil Med,2015,180(10):1091-1097.
[5]沈新炎,靖玉仲.回春功与抗衰老[M].上海:科学出版社龙门书局,1994:143-152.
[6]杨群娣,李锐,阮晔,等.腰围与腰围身高比值筛查糖尿病前期和未诊断糖尿病患者的效能比较[J].中华糖尿病杂志,2016,8(9):554-558.
[7]王祺.EZSCAN无创筛查技术对糖尿病及糖耐量异常的临床应用价值[J].重庆医学,2017,46(3):362-365.
[8]邵伟庆,林浩.葡萄糖耐量试验在高血压患者筛查糖尿病的临床意义[J].中国现代药物应用,2015,9(21):70-71.
[9]于锋真.社区随访与评估门诊结合在社区糖尿病防治中的应用观察[J].中国现代药物应用,2016,10(12):278-279.
[10]游鸿,张彤.“治未病”思想在糖尿病前期防治中的应用[J].亚太传统医药,2018,14(1):44-45.
[11]胡文斌,张婷,张小花,等.2016年昆山市糖尿病前期患病情况及其影响因素分析[J].现代预防医学,2018,45(3):437-442.
[12]姜继权,夏小慧,王卉,等.不同运动干预方式对糖尿病前期人群血糖相关指标影响的Meta分析[J].中国应用生理学杂志,2017,33(2):189-192.
[13]李博文,贾冕,张宁宁,等.有氧运动对糖尿病前期人群血浆代谢物的影响[J].中国运动医学杂志,2018,37(4):301-308.
[14]罗祖纯,戴霞,麻晓君,等.有氧和抗阻运动对糖尿病前期人群HbA1c及血糖的影响[J].重庆医学,2017,46(8):1148-1150.
[15]商月辉,商亚丽,蔡艳芳,等.八段锦与健步走在糖尿病前期人群中应用效果的比较研究[J].护理研究,2017,31(35):4555-4557.
[16]杨京辉,汪亚群,楼青青,等.高强度间歇运动对糖尿病前期患者糖脂代谢的影响[J].中国康复医学杂志,2017,32(8):907-911,937.