不同运动方式广场舞对老年2型糖尿病患者血糖及心肺功能的影响

摘要

目的：探讨不同运动方式广场舞对老年2型糖尿病患者血糖及心肺功能的影响。方法：将30例老年2型糖尿病患者随机分为单纯广场舞组和组合广场舞组各15例，单纯广场舞组以50％～70％最大心率进行每周5次共12周的训练，组合广场舞组在单纯广场舞组的基础上结合30％～50％一次最大负荷量（RM）负荷哑铃操每周5次；所有患者进行心肺运动试验评估，制定中等强度的运动方案；比较12周运动治疗前后两组血糖及心肺功能变化情况。结果：12周治疗后两组空腹血糖（FBG）、糖化血红蛋白（HbA1 c）、一秒用力呼气容积（FEV1）、FEV1与用力肺活量的比值（FEV1／FVC）、左室收缩末容积（ESV）、左室舒张末容积（EDV）、心输出量（CO）较之前均有改善（P ＜0.05），组合广场舞组在改善 FBG、FEV1、FEV1／FVC、CO、ESV、EDV 方面优于单纯广场舞组（P ＜0.05）。结论：单纯广场舞和组合广场舞都能改善糖尿病患者的血糖和心肺功能，与单纯广场舞相比，组合广场舞能更有效地降低老年2型糖尿病患者的血糖水平并改善患者心肺功能，值得推广。%Objective:To investigate the effect of public square dancing on blood glucose and the function of heart and lung in elderly pa-tients with type 2 diabetes mellitus.Methods:30 elderly patients with type 2 diabetes were randomly divided into the simple dancing group and combined dancing group (15 cases in each group).The patients in the two groups were evaluated by cardiopulmonary exercise test and the change of blood glucose and the function of heart and lung of the patients were compared between the two groups before and after 12 -week exercise.Results:After 12 weeks of exercise,the FBG,HbA1 c,FEV1 /FVC (FEV1 ),FEV1 and FEV1 /FVC,EDV,CO and FEV1 were im-proved compared with those before exercise in the two groups.Conclusion:The simple square dancing and combined square dancing can im-prove blood glucose and heart and lung function in patients with diabetes.Compared with the simple square dancing,the combined square dancing can effectively reduce blood glucose levels and improve heart and lung function in elderly patients with type 2 diabetes.