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目的比较社区运动干预与常规干预对糖尿病患者血糖、糖化血红蛋白、血脂指标的影响,提高社区糖尿病患者治疗效果。方法随机选择武汉市汉阳区二桥街社区卫生服务中心管辖内的100例2型糖尿病患者作为试验对象,按随机数字表分为观察组和对照组各50例,两组患者均保持药物及饮食干预,对照组患者进行随机运动干预,观察组进行个体化、特征性的运动疗法干预,患者均干预6个月。比较干预前后患者血糖、糖化血红蛋白、血脂指标差异。结果观察组和对照组治疗后空腹血糖、餐后2 h血糖、糖化血红蛋白、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇均较治疗前明显改善(P均<0.05),且观察组治疗后较对照组改善更明显(P均<0.05)。结论社区2型糖尿病在常规治疗基础上配合个体化、特征性的运动疗法能够有助于血糖控制,调节血脂水平,改善身体状况。该方法应引起患者家庭和社区的重视和支持。
Objective To compare the effect of community exercise intervention and routine intervention on blood glucose, glycosylated hemoglobin and blood lipid in diabetic patients and to improve the treatment effect of community diabetic patients. Methods A total of 100 type 2 diabetic patients under the jurisdiction of Erqiao Street Community Health Service Center in Hanyang District of Wuhan were selected randomly as test subjects. Random number table was divided into observation group (50 cases) and control group (50 cases) respectively. Both groups maintained drugs and diet Intervention, control group of patients with random exercise intervention, the observation group of individualized, characteristic exercise therapy intervention, patients were intervention for 6 months. Before and after intervention in patients with blood glucose, glycosylated hemoglobin, blood lipid indicators differences. Results After treatment, fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, triglyceride, total cholesterol, high density lipoprotein cholesterol and low density lipoprotein cholesterol in observation group and control group were significantly improved after treatment (all P <0.05) , And the observation group improved more obviously than the control group after treatment (all P <0.05). Conclusion Community type 2 diabetes with individual treatment based on routine treatment, characteristic exercise therapy can contribute to blood sugar control, regulate blood lipid levels and improve physical condition. This method should arouse the attention and support of patients’ families and communities.