24周健身少林内功干预糖尿病前期患者的临床观察

发布时间：2018-04-09 10:46

本文选题：少林内功　切入点：2型糖尿病前期　出处：《南京中医药大学》2016年硕士论文

【摘要】：研究目的通过不同频率少林内功练习对2型糖尿病前期的进行治疗,观察和评估不同频率少林内功的治疗作用,并相互比较以明确其量效关系进行,为少林内功治疗2型糖尿病前期的临床应用提供可靠的支持。研究方法60例符合纳入标准并且不符合排除标准的社区2型糖尿病前期患者,被随机分为少林内功一组、少林内功二组、少林内功三组、少林内功四组、步行对照组及空白对照组各10例。少林内功一组、二组、三组、四组分别予1次/天、2次/天、3次/天、4次/天,每周练习五天的少林内功练习；步行对照组予中等步速(80～100步/分钟)步行30分钟,2次/天,每周步行五天；空白对照组则不干预其日常活动；共进行6个月的治疗。选用空腹血糖、餐后2小时血糖及糖化血红蛋白作为观察指标,于各组患者治疗前、治疗3个月、治疗6个月分别对患者进行评价。对治疗前后的观察指标进行组内对比,明确各组疗效；对各组间观察指标治疗前后差值进行组间对比,明确不同锻炼方法优劣及少林内功的量效关系。研究结果各组患者干预前在年龄、性别、空腹血糖、餐后2h血糖及糖化血红蛋白上的差异均无统计学意义(P0.05),各组间基线一致,具有可比性。少林内功各组习练3个月及习练6个月后,患者各项指标与干预前相比,差异均有显著性意义(P0.01)。空腹血糖的组间对比,少林内功各组均显著优于空白对照组(P0.01),少林内功三组显著优于步行对照组(P0.01)；餐后2h血糖的组间对比,少林内功各组均显著优于空白对照组(P0.01),少林内功二组、少林内功四组优于步行对照组(P0.05),少林内功三组显著优于步行对照组；糖化血红蛋白的组间对比,少林内功各组均显著优于空白对照组(P0.01),少林内功三组、少林内功四组显著优于步行对照组(P0.01)。量效关系上的对比少林内功三组显著优于其余各组(P0.01)。研究结论少林内功的习练可显著改善患者的血糖控制：少林内功习练可显著改善患者空腹血糖、餐后2h血糖及糖化血红蛋白水平,优于健康宣教；在空腹血糖、餐后2h血糖的改善上,少林内功习练3次/日优于步行训练；糖化血红蛋白改善上,少林内功习练3次/日、4次/日优于步行训练。量效关系分析揭示,少林内功习练3次/日对2型糖尿病前期有着最佳疗效。
[Abstract]:Objective to observe and evaluate the therapeutic effect of Shaolin internal work on type 2 diabetes mellitus at different frequencies, and to compare it with each other in order to clarify the dose-effect relationship.To provide reliable support for the clinical application of Shaolin Neigong in the early stage of type 2 diabetes.Methods Sixty patients with type 2 diabetes mellitus who met the inclusion criteria and did not meet the exclusion criteria were randomly divided into three groups: Shaolin internal work group, Shaolin inner work group, Shaolin internal work group, and Shaolin internal work group.There were 10 cases in walking control group and 10 cases in blank control group.The control group did not interfere with their daily activities and was treated for 6 months.Fasting blood glucose, 2 hours postprandial blood glucose and glycosylated hemoglobin were selected as observation indexes. The patients were evaluated before treatment for 3 months and 6 months for 6 months.The observation indexes before and after treatment were compared within the group to determine the efficacy of each group, and the differences between the observation indexes before and after treatment were compared among groups to determine the advantages and disadvantages of different exercise methods and the dose-effect relationship of Shaolin internal work.Results there were no significant differences in age, sex, fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin before intervention.After 3 months of training and 6 months of training in Shaolin, there were significant differences between the indexes of the patients and those before intervention (P 0.01).The comparison of fasting blood glucose in Shaolin group was significantly better than that in blank control group (P 0.01), Shaolin inner work group was significantly better than walking control group (P 0.01), and 2 h postprandial blood glucose level was higher in Shaolin group than that in control group.The internal work of Shaolin group was significantly better than that of the blank control group (P 0.01), the Shaolin inner work group 2, the Shaolin inner work group 4 superior to the walking control group (P 0.05), the Shaolin inner work group 3 significantly better than the walking control group, the comparison of glycosylated hemoglobin among groups,The internal work of Shaolin group was significantly better than that of the blank control group (P0.01), the Shaolin inner work group (3 groups) and the Shaolin inner work group (4 groups) were significantly better than the walking control group (P0.01).The comparison of the dose-effect relationship between the three groups was better than that of the other groups (P 0.01).Conclusion the practice of Shaolin internal work can significantly improve the blood glucose control of patients. Shaolin exercise can significantly improve the fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin level, which is superior to health education.The improvement of 2 h postprandial blood glucose, 3 times / day of Shaolin's inner work practice was better than that of walking training, and 3 times / day of Shaolin's internal practice was better than that of walking training, while the improvement of glycosylated hemoglobin was better than that of walking training 4 times a day.The analysis of dose-effect relationship revealed that Shaolin had the best effect in the early stage of type 2 diabetes.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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