Objective To investigate the clinical effect of individualized exercise therapy on elderly patients with non insulin dependent diabetes mellitus. Methods 46 cases of elderly patients with non-insulin-dependent diabetes mellitus were selected in our hospital from January 2008 to June 2011, who were given individualized exercise therapy on the condition of invariable early treatment. Amount of exercise was equal to the total intake of calories-daily activity burns calo-ries+1128.6 kj. The exercise intensity was 40% to 50% of maximal oxygen consumption. The mode of exercise was 4 times/d walking, the course of treatment was two weeks. Indexes of blood sugar and so on were compared before and after treatment. Results With the exercise intensity increase, maximal oxygen consumption increased significantly, while 2 h postprandial blood glucose level decreased significantly, the differences were statistically significant (P < 0.05). After individualized exercise therapy fasting blood glucose, postprandial 2 h blood glucose, BMI, triglycerides of patients significantly decreased, while high density lipoprotein increased obviously, the differences were statistically significant (P< 0.05), but cholesterol decreased without statistical significance (P > 0.05). All patients had no obvious complications during the period of individualized exercise therapy, while comorbidities also did not deteriorate. Conclusion Individualized exercise therapy can significantly reduce blood glucose level of elderly patients with non-insulin-dependent diabetic mellitus, which is a safe and effective exercise therapy. That is worthy of clinical use.%目的 探讨个体化运动疗法对老年非胰岛素依赖型糖尿病患者的临床疗效.方法 选取本院2008年1月~2011年6月收治的老年非胰岛素依赖型糖尿病患者46例,在前期治疗不变的情况下,给予个体化运动疗法,运动量为总摄入热量-日常活动消耗热量+1 128.6 kJ,运动强度为40%~50%的最大耗氧量,运动方式为4次/d步行,疗程为两周,比较治疗前后患者血糖等指标变化情况.结果随着运动强度的加大,患者最大耗氧量明显增加,餐后2 h血糖水平明显降低,差异有统计学意义(P ＜ 0.05).经个体化运动疗法后患者空腹血糖、餐后2 h血糖、果糖胺、体重指数、三酰甘油均明显下降,高密度脂蛋白胆固醇明显上升,差异有统计学意义(P ＜ 0.05),胆固醇下降不明显,差异无统计学意义(P > 0.05).个体化运动疗法期间所有患者均未出现明显的并发症,合并症也未见加重.结论 个体化运动疗法可以明显降低老年非胰岛素依赖型糖尿病患者的血糖水平,是一种安全有效的运动疗法,值得临床推广使用.
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