周丽娟

[摘要] 目的 探讨太极拳对超重2型糖尿病患者治疗效果及体质指数的影响。方法 选取2018年6月—2019年1月该院内分泌科收治，且BMI指數≥24的2型糖尿病患者93例，随机分为试验组和对照组两组，试验组46例，对照组47例。对照组实施常规糖尿病健康指导，试验组则在此基础上要求患者进行为期8周的杨氏24式太极拳锻炼。观察并比较两组患者干预后的空腹血糖、餐后2 h血糖水平及糖化血红蛋白值;比较两组患者干预后的体质指数。结果 经过为期8周的太极拳锻炼，试验组患者的空腹血糖、餐后2 h血糖水平及糖化血红蛋白值均显著低于对照组，差异有统计学意义（P<0.05）;试验组患者的BMI指数显著低于对照组，差异有统计学意义（P<0.05）。 结论 太极拳锻炼可有效控制及改善超重2型糖尿病患者的代谢指标，降低患者的BMI指数，缓解其胰岛素抵抗。

[关键词] 太极拳;2型糖尿病;空腹血糖;餐后2 h血糖;糖化血红蛋白;BMI指数

[中图分类号] R587.1          [文献标识码] A          [文章编号] 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

糖尿病是由于多种原因引起的体内胰岛素不足或相对不足，或胰岛素作用减弱，而引起的以持续血糖增高，代谢紊乱的的一种慢性内分泌代谢性疾病，可引起神经、血管病变，导致糖尿病肾病、糖尿病视网膜病变、糖尿病足等多种并发症[1]。近年来，已逐渐成为全球范围内仅次于心血管疾病和肿瘤的第三大威胁人们健康与生命的疾病。运动治疗是糖尿病“五驾马车”中的重要内容，适当运动可降低患者血脂及血糖水平，尤其对于超重的2型糖尿病患者，可降低其BMI指数，改善其胰岛素抵抗，增强胰岛素的敏感性[2]。BMI指数（Body Mass Index）即体质指数，BMI=体重/身高2，是目前国际上常用的衡量体内脂肪含量及是否肥胖的一个重要指标e。……