1. 南京医科大学康复医学院,南京
2. 南京市栖霞区迈皋桥社区卫生服务中心慢性病管理中心,南京
3. 南京市栖霞区迈皋桥社区卫生服务中心康复科,南京
4. 南京医科大学第一附属医院康复医学中心,南京
纸质出版:2025
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肖梦晶, 许丽, 吴存书, 等. 基于体卫融合模式的运动干预对社区2型糖尿病患者的影响[J]. 中华物理医学与康复杂志, 2025,47(4):343-348.
肖梦晶, 许丽, 吴存书, et al. 基于体卫融合模式的运动干预对社区2型糖尿病患者的影响[J]. 2025, 47(4): 343-348.
目的探讨基于体卫融合模式的运动干预对社区2型糖尿病患者血糖管理及体质指标的影响。方法选取在社区卫生服务中心参与定期随访的2型糖尿病患者109例
以是否参与体卫融合模式下的运动干预为标准
将患者分为对照组(78例)和运动组(31例)。采用1∶1倾向性评分匹配法使组间混杂因素达到平衡
最终对照组和运动组分别纳入21例。2组患者均接受糖尿病规范化管理(药物治疗、饮食指导及糖尿病健康教育)
运动组在此基础上增加体卫融合模式下的运动干预。干预前及干预8周后(干预后)
对2组患者的糖化血红蛋白(HbA1c)水平、体重、体重指数(BMI)、体脂肪量(FM)、内脏脂肪面积(VFA)、体脂质量指数(FMI)、四肢骨骼肌质量指数(ASMI)进行比较。记录运动组干预8周内的实际运动情况
以及低血糖、运动损伤等不良事件和降糖药物剂量的变化。结果干预后
运动组的HbA1c水平[(6.89±0.42)%]、BMI[(24.05±3.43)kg/m2]、FM[(19.01±6.11)kg]、VFA[(125.79±20.30)cm2]、FMI[(6.95±2.38)kg/m2]均较组内干预前有所改善(P<0.05)。组间比较发现
运动组干预前后的HbA1c水平、体重、BMI、FM、VFA和FMI的改善幅度均优于对照组(P<0.05)。运动组有效参与运动干预的人数为8人
运动依从率为(60.14±21.32)%。干预期间
患者无低血糖及运动损伤事件发生
降糖药物的使用情况未发生变化。结论基于体卫融合模式的运动干预能较好地改善社区2型糖尿病患者的血糖控制效果及体质指标
但患者依从性欠佳。
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