太極拳對超重2型糖尿病患者治療效果及體質指數的影響

周麗娟

[摘要] 目的 探討太極拳對超重2型糖尿病患者治療效果及體質指數的影響。方法 選取2018年6月—2019年1月該院內分泌科收治，且BMI指數≥24的2型糖尿病患者93例，隨機分為試驗組和對照組兩組，試驗組46例，對照組47例。對照組實施常規糖尿病健康指導，試驗組則在此基礎上要求患者進行為期8周的楊氏24式太極拳鍛煉。觀察并比較兩組患者干預后的空腹血糖、餐后2 h血糖水平及糖化血紅蛋白值;比較兩組患者干預后的體質指數。結果 經過為期8周的太極拳鍛煉，試驗組患者的空腹血糖、餐后2 h血糖水平及糖化血紅蛋白值均顯著低于對照組，差異有統計學意義（P<0.05）;試驗組患者的BMI指數顯著低于對照組，差異有統計學意義（P<0.05）。 結論 太極拳鍛煉可有效控制及改善超重2型糖尿病患者的代謝指標，降低患者的BMI指數，緩解其胰島素抵抗。

[關鍵詞] 太極拳;2型糖尿病;空腹血糖;餐后2 h血糖;糖化血紅蛋白;BMI指數

[中圖分類號] R587.1? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）01（b）-0001-02

[Abstract] Objective To investigate the effect of Taijiquan on the therapeutic effect and body mass index of overweight type 2 diabetic patients. Methods From June 2018 to January 2019， 93 patients with type 2 diabetes mellitus with BMI index ≥24 were enrolled. They were randomly divided into experimental group and control group， 46 patients in the experimental group and 47 patients in the control group. The control group was given routine diabetes health guidance， and the experimental group was required to perform the 8-week Young's 24 style Taijiquan exercise on this basis. The fasting blood glucose， postprandial 2 h blood glucose level and glycosylated hemoglobin value of the two groups were observed and compared. The body mass index of the two groups was compared after intervention. Results After 8 weeks of Taijiquan exercise， the fasting blood glucose， postprandial 2h blood glucose level and glycosylated hemoglobin value of the experimental group were significantly lower than the control group， the difference was statistically significant （P<0.05）; the BMI index of the test group patients was significantly lower than the control group， the difference was statistically significant （P<0.05）. Conclusion Taijiquan exercise can effectively control and improve the metabolic index of overweight type 2 diabetes patients， reduce the patient's BMI index and alleviate insulin resistance.

[Key words] Taijiquan; Type 2 diabetes; Fasting blood glucose; 2 h postprandial blood glucose; Glycated hemoglobin; BMI index

糖尿病是由于多種原因引起的體內胰島素不足或相對不足，或胰島素作用減弱，而引起的以持續血糖增高，代謝紊亂的的一種慢性內分泌代謝性疾病，可引起神經、血管病變，導致糖尿病腎病、糖尿病視網膜病變、糖尿病足等多種并發癥[1]。近年來，已逐漸成為全球范圍內僅次于心血管疾病和腫瘤的第三大威脅人們健康與生命的疾病。運動治療是糖尿病“五駕馬車”中的重要內容，適當運動可降低患者血脂及血糖水平，尤其對于超重的2型糖尿病患者，可降低其BMI指數，改善其胰島素抵抗，增強胰島素的敏感性[2]。BMI指數（Body Mass Index）即體質指數，BMI=體重/身高2，是目前國際上常用的衡量體內脂肪含量及是否肥胖的一個重要指標e。……