CAJ | 학술논문

目的评价糖尿病量化运动处方在2型糖尿病病人中应用的适用性和安全性.方法运动处方按运动量由小到大分为1至5级.选择80例2型糖尿病病人,每例病人均从运动量最小的处方1做起,依次递增至运动量最大的处方5,每级处方均连续3 d,运动时间选择在晚餐后1 h,每个运动处方的运动时间设为60 min.运动前、运动结束即刻、运动结束后4及12 h分别测定心率、血压、血氧饱和度,计算低血糖发生率,以评估量化运动处方的安全性;比较出院后3个月血糖、糖化血红蛋白、血脂、腰围、臀围及体重的变化,以评估运动处方的适用性.结果运动结束即刻、运动结束后4 h及12 h的心率、收缩压、舒张压及血氧饱和度均在正常值范围,运动结束即刻无低血糖发生,运动结束后4 h及12 h低血糖发生率为1.25%和2.5%.3个月后,各组的窄腹血糖、餐后2 h血糖及糖化血红蛋白均明显降低;除B2组外,总胆固醇均明显下降,BMI25各组的腰围、臀围、体重均显著降低.结论糖尿病量化运动处方是2型糖尿病病人安全且有效的运动干预措施;1至5级糖尿病量化运动处方对2型糖尿病病人实施个体化运动干预提供了更多的选择.
목적 평개당뇨병양화운동처방재2형당뇨병병인중응용적괄용성화안전성.방법 운동처방안운동량유소도대분위1지5급.선택80례2형당뇨병병인,매례병인균종운동량최소적처방1주기,의차체증지운동량최대적처방5,매급처방균련속3 d,운동시간선택재만찬후1 h,매개운동처방적운동시간설위60 min.운동전、운동결속즉각、운동결속후4급12 h분별측정심솔、혈압、혈양포화도,계산저혈당발생솔,이평고양화운동처방적안전성;비교출원후3개월혈당、당화혈홍단백、혈지、요위、둔위급체중적변화,이평고운동처방적괄용성.결과 운동결속즉각、운동결속후4 h급12 h적심솔、수축압、서장압급혈양포화도균재정상치범위,운동결속즉각무저혈당발생,운동결속후4 h급12 h저혈당발생솔위1.25%화2.5%.3개월후,각조적착복혈당、찬후2 h혈당급당화혈홍단백균명현강저;제B2조외,총담고순균명현하강,BMI25각조적요위、둔위、체중균현저강저.결론 당뇨병양화운동처방시2형당뇨병병인안전차유효적운동간예조시;1지5급당뇨병양화운동처방대2형당뇨병병인실시개체화운동간예제공료경다적선택.
Objective To evaluate the availability and security of exercises quantizing prescription for type 2 diabetes mellitus. Methods 1 to 5 grades of prescriptions were designed according to different exercises. 80 patients of type 2 diabetes mellitus were treated by 1 to 5 grades of exercise prescriptions. One hour after dinner, each patient started from a minimum amount of Exercise Prescription 1 for three days. Then the patient increased the grade of exercise prescription every three days, until to the greatest amount of Exercise Prescription 5. Exercise time of each exercise prescription was 60 minutes. Heart rate, blood pressure, and PaO2 were determined before exercise, instantly after exercise, 4 hours after exercise, and 12 hours after exercise in all patients, and the incidence of hypoglycemia was counted, so that the security of exercises quantizing prescription could be evaluated. Changes of blood glucose, glycosylated hemoglobin, blood fat, waistline, hip circumference, and weight 3 months after discharge were compared to evaluate the availability of exercises quantizing prescription. Results The values of heart rate, systolic blood pressure, diastolic blood pressure and PaO2 were in the normal range instantly after exercise, 4 hours after exercise, and 12 hours after exercise. There was no occurrence of hypoglycemia among the patients instantly after exercise. The incidences of hypoglycemia were 1.25% and 2.5% 4 hours and 12 hours after exercise. After 3 months, fasting blood sugar, 2hFBG and glycosylated hemoglobin in each group significantly decreased. Total cholesterol decreased obviously except in B2 group. Waistline, hip circumference and weight of those patients whose BMI were 25 decreased obviously. Conclusions Exercises quantizing prescription of diabetes mellitus is a safe and effective exercise therapy for type 2 diabetes mellitus. 1 to 5 grades of exercise prescriptions provide more choices of individual exercise therapy for type 2 diabetes mellitus patients.