| 周霞,张慧慧,施丽华,黄慧佳.基于微信平台的八段锦锻炼对2型糖尿病干预研究[J].上海护理,2022,22(S1): |
| 基于微信平台的八段锦锻炼对2型糖尿病干预研究 |
| Intervention Research of Baduanjin Exercise based on WeChat platform for type 2 diabetes |
| DOI： |
| 中文关键词: 微信平台 八段锦运动 2型糖尿病 脂肪因子 胰岛素敏感性 |
| 英文关键词:Wechat platform Baduanjin movement Type 2 diabetes mellitus Adipokine Insulin sensitivity |
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| 中文摘要: |
| 目的：探讨基于微信平台的八段锦锻炼对2型糖尿病的疗效及其对网膜素-1、内脂素和脂联素的影响。方法：选择2020年1月~2020年12月在我院住院2型糖尿病患者92例患者,按照随机数字方法将患者分为观察组和对照组,每组各46例。对照组予以基础治疗,观察组在对照组的基础上予以基于微信平台的八段锦运动。观察干预后疗效,观察干预前后血清空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)、胰岛素敏感指数(ISI)、胰高血糖素样肽-1(GLP-1)、生活质量、网膜素-1、内脂素和脂联素水平的变化。结果：观察组的总有效率为93.48%优于对照组的总有效率为76.09%(χ2=4.128,P<0.05)。两组干预前FPG、2hPG、HbA1c、HOMA-IR、ISI、GLP-1、生理功能、心理精神、社会关系、治疗评分、网膜素-1、内脂素和脂联素水平差异无统计学意义(P>0.05),干预后两组FPG、2hPG、HbA1c、HOMA-IR、生理功能、心理精神、社会关系、治疗评分和内脂素水平较干预前明显降低(P<0.01),而ISI、GLP-1、网膜素-1和脂联素水平较干预前明显升高(P<0.01),观察组与对照组比较降低或者升高水平更为明显(P<0.01)。结论：基于微信平台的八段锦锻炼对2型糖尿病的疗效显著,能够提高机体对胰岛素的敏感性,其机制可能与脂肪因子改善有关。 |
| 英文摘要: |
| Objective: To investigate the efficacy of Baduanjin exercise based on WeChat platform for type 2 diabetes and its impact on omentin-1, visfatin and adiponectin. Methods: 92 patients with type 2 diabetes mellitus hospitalized in our hospital from January 2020 to December in ~2020 were randomly divided into observation group and control group, 46 cases in each group. The control group was given basic treatment, and the observation group was given Baduanjin Exercise based on wechat platform on the basis of the control group. The efficacy after the intervention was observed in two groups, and the serum levels of fasting blood glucose (FBG), postprandial 2H blood glucose (2hPG), glycosylated hemoglobin (HbA1c), insulin resistance index (HOMA-IR), insulin sensitivity index (ISI), glucagon like peptide-1 (GLP-1), quality of life, omentin-1, visfatin and adiponectin were also observed in two groups before and after the intervention. Results: The total effective rate in the observation group was 93.48%, which was better than 76.09% in the control group (χ2=4.128,P<0.05). There was no significant difference in FPG, 2hPG, HbA1c, HOMA-IR, ISI, GLP-1, physiological function, psychological spirit, social relationship, treatment score, omentin-1, visfatin and adiponectin levels between the two groups before intervention (P>0.05). After intervention, the FPG, 2hPG, HbA1c, HOMA-IR, physiological function, psychological spirit, social relationship, treatment score and visfatin levels were significantly lower than those before intervention (P < 0.01), while the levels of ISI, GLP-1, omentin-1 and adiponectin were significantly higher than those before intervention (P<0.01), the decreased or increased levels in the observation group more significantly obvious than those in the control group (P<0.01). Conclusion: The Baduanjin exercise based on WeChat platform has a significant effect on type 2 diabetes and can improve insulin sensitivity, its mechanism may be related to the improvement of adipokines. |
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