中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
2期
182-185
,共4页
生活方式干预%2型糖尿病%量化管理
生活方式榦預%2型糖尿病%量化管理
생활방식간예%2형당뇨병%양화관리
Lifestyle intervention%Type 2 diabetes mellitus%Quantify management
目的 研究在药物治疗的基础上规范生活方式管理,对老年2型糖尿病患者疗效的观察.方法 选择无运动禁忌证的老年2型糖尿病患者270例,采用“生活方式疾病综合防治系统”管理软件和“能量监测仪”指导生活方式,检测患者空腹血糖(FPG)、餐后血糖(PPG)、胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、体质量指数(BMI)、糖化血红蛋白(HbAlc)、血压、每日总摄入量、总运动量及有效运动量等指标,观察治疗6个月,进行前后自身对照评价其疗效.结果 经过6个月的规范化生活方式干预:(1)2型糖尿病患者体重、BMI、腰围、收缩压及舒张压均有极显著下降(t值分别为:23.82、25.91、19.56、23.37和19.53,P均＜0.01)；FPG、PPG、HbA1c、CHOL、TG、LDL较干预前有极显著下降(t值分别为:12.06、11.82、9.74、6.98、5.79和6.10,P均＜0.01),HDL有显著升高(t=2.51,P＜0.05).(2)每日总摄入量较干预前明显减少,有效运动量显著提高,与干预前比较差异均有统计学意义(P均＜0.01).结论 规范生活方式管理,更有助于控制糖尿病患者血糖、血压和体质量等危险因素,减少其并发症,降低医疗费用.
目的 研究在藥物治療的基礎上規範生活方式管理,對老年2型糖尿病患者療效的觀察.方法 選擇無運動禁忌證的老年2型糖尿病患者270例,採用“生活方式疾病綜閤防治繫統”管理軟件和“能量鑑測儀”指導生活方式,檢測患者空腹血糖(FPG)、餐後血糖(PPG)、膽固醇(TC)、甘油三酯(TG)、低密度脂蛋白膽固醇(LDL-C)、高密度脂蛋白膽固醇(HDL-C)、體質量指數(BMI)、糖化血紅蛋白(HbAlc)、血壓、每日總攝入量、總運動量及有效運動量等指標,觀察治療6箇月,進行前後自身對照評價其療效.結果 經過6箇月的規範化生活方式榦預:(1)2型糖尿病患者體重、BMI、腰圍、收縮壓及舒張壓均有極顯著下降(t值分彆為:23.82、25.91、19.56、23.37和19.53,P均＜0.01)；FPG、PPG、HbA1c、CHOL、TG、LDL較榦預前有極顯著下降(t值分彆為:12.06、11.82、9.74、6.98、5.79和6.10,P均＜0.01),HDL有顯著升高(t=2.51,P＜0.05).(2)每日總攝入量較榦預前明顯減少,有效運動量顯著提高,與榦預前比較差異均有統計學意義(P均＜0.01).結論 規範生活方式管理,更有助于控製糖尿病患者血糖、血壓和體質量等危險因素,減少其併髮癥,降低醫療費用.
목적 연구재약물치료적기출상규범생활방식관리,대노년2형당뇨병환자료효적관찰.방법 선택무운동금기증적노년2형당뇨병환자270례,채용“생활방식질병종합방치계통”관리연건화“능량감측의”지도생활방식,검측환자공복혈당(FPG)、찬후혈당(PPG)、담고순(TC)、감유삼지(TG)、저밀도지단백담고순(LDL-C)、고밀도지단백담고순(HDL-C)、체질량지수(BMI)、당화혈홍단백(HbAlc)、혈압、매일총섭입량、총운동량급유효운동량등지표,관찰치료6개월,진행전후자신대조평개기료효.결과 경과6개월적규범화생활방식간예:(1)2형당뇨병환자체중、BMI、요위、수축압급서장압균유겁현저하강(t치분별위:23.82、25.91、19.56、23.37화19.53,P균＜0.01)；FPG、PPG、HbA1c、CHOL、TG、LDL교간예전유겁현저하강(t치분별위:12.06、11.82、9.74、6.98、5.79화6.10,P균＜0.01),HDL유현저승고(t=2.51,P＜0.05).(2)매일총섭입량교간예전명현감소,유효운동량현저제고,여간예전비교차이균유통계학의의(P균＜0.01).결론 규범생활방식관리,경유조우공제당뇨병환자혈당、혈압화체질량등위험인소,감소기병발증,강저의료비용.
Objective To study the effects of standardized-lifestyle intervention on the type 2 diabetic elder patients.Methods The study group enrolled 270 individuals with type 2 diabetes mellitus randomly by using the model of “Zhiji Health Care” and the software of the lifestyle and disease prevention system.Parameters were collected during a six month period for the evaluation,such as fasting plasma glucose(FPG),postprandial glucose(PPG),cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C),body mass(BMI),glycosylated hemoglobin(HbAlc),blood pressure,daily intake,total physical activity and effective physical activity and other indicators.Results After six months' standardized lifestyle intervention:(1)in the type 2 diabetic patients,the parameters of weight,BMI,waist circumference,systolic and diastolic blood pressure were significantly decreased(t values were:23.82,25.91,19.56,23.37 and 19.53,respectively,all P ＜ 0.01); FPG,PPG,HbA1c,TC,TG and LDL-C were significant decreased compared with that before intervention(t values were: 12.06,11.82,9.74,6.98,5.79 and 6.10,respectively,all P ＜ 0.0l).Meanwhile,HDL-C was significantly increased(t =2.51,P ＜ 0.05).(2)the total daily intake was significantly reduced compared with that before intervention.The effective exercise burden was significantly increased,compared with that before intervention(P ＜ 0.01).Conclusion Standard lifestyle management helps to control the blood glucose,blood pressurem,body weight and other risk factors,with reduction of complications and medical costs.
