摘要
目的探讨不同运动方式对糖尿病周围神经病变（DPN）患者血糖及神经传导的影响。方法选取符合纳入、排除标准的天津市某糖尿病专科医院DPN患者57例，随机分为有氧运动组29例和抗阻力运动组28例，2组分别完成12周中等强度的有氧运动及12周中等强度的抗阻力运动。干预前后分别测定2组患者的糖化血红蛋白（HbAle）及神经传导功能，并进行比较。结果有氧运动组和抗阻力运动组干预前后自身比较，HbAle均显著降低，t值分别为2．014和2．357，差异有统计学意义。有氧运动组干预后腓总神经运动传导速度、胫后神经运动传导速度及远端胫后神经感觉传导速度较自身干预前显著升高，t值分别为3．059、2．711和2．359，差异有统计学意义。抗阻力运动组干预后胫后神经运动传导速度、远端胫后神经感觉传导速度及近端胫后神经感觉传导速度较自身干预前显著升高，￡值分别为2．471、2．663和3．867，差异有统计学意义。与有氧运动组比较，抗阻力运动组的降低HbAlc水平幅度及改善近端胫后神经感觉传导速度幅度优于有氧运动组，t值分别为2．602和-2．082，差异有统计学意义。结论有氧运动和抗阻力运动有助于DPN患者血糖及神经传导改善，抗阻力运动对血糖及近端胫后神经感觉传导速度的改善优于有氧运动。
Objective The study aimed to evaluate the effect of different modes of exercise on blood glucose and neural conduction among patients with diabetic peripheral neuropathy （DPN）. Methods A total of 57 patients with DPN who fell into the inclusion and exclusion criteria were randomly assigned to the aerobic exercise group （n=29） and resistance exercise group （n=28）. Patients in aerobic and resistance exercise groups respectively received 12-week moderate intensity aerobic and resistance exercise. HbAlc and neural eonduc- tion were determined before and after the intervention. Results HbAlc decreased in both groups after the intervention compared with those before the intervention, t values were 2.014 and 2.357, P〈0.05. The motor conduction velocity of nervus peroneus communis, motor conduction velocity of posterior tibial nerve and sensory conduction velocity of distal posterior tibial nerve significantly improved after intervention compared with those before intervention in the aerobic exercise group, t value were 3.059, 2.711 and 2.359, the dif- ference was statistically significant. The motor conduction velocity of posterior tibial nerve, sensory conduction velocity of distal posterior tibial nerve and sensory conduction velocity of proximal posterior tibial nerve significantly improved after intervention compared with those before intervention in the resistance exercise group, t values were 2.471, 2.663 and 3.867, the difference was statistically significant. Compared with the aerobic ex- ercise group, the resistance exercise group was superior in reducing HbAlc and improving sensory conduction velocity of proximal posterior tibial nerve, t value were 2.602 and -2.082, the difference was statistically signifi- cant. Conclusions Aerobic exercise and resistance exercise could improve blood glucose and nerve conduc- tion among patients with DPN, resistance exercise was superior in improving HbAlc and the sensory conduction velocity of tibial nerve than aerobic exercise.
出处
《中国实用护理杂志》
2015年第8期577-579,共3页
Chinese Journal of Practical Nursing
关键词
血糖
神经传导
运动
糖尿病周围神经病变
Blood glucose
Neural conduction
Exercise
Diabetic peripheral neuropathy
