A Study on the effects of aerobic exercise + traditional Chinese medicine rehabilitation exercises at different postprandial time points on blood glucose in patients with type 2 diabetes mellitus
餐后不同时间点有氧运动+中医康复运动操对2型糖尿病患者血糖的影响研究

摘要

目的 探究餐后不同时间点进行有氧运动与中医康复运动操对2型糖尿病患者血糖的影响。方法 以2022年1月至12月新疆维吾尔自治区中医医院内分泌科收治的120例2型糖尿病患者为研究对象，依据午餐后运动时间不同，将其分为A组、B组、C组，每组40例，分别在午餐后60min、90min、120min进行运动，对比三组患者的空腹、运动前、运动后即刻、睡前血糖值并取平均值评估，同时检测运动前后的血压、心率值。结果 C组运动后即刻及睡前血糖水平优于B组和A组（P＜0.05）；C组的血压和心率数值也优于B组与A组（P＜0.05）；C组的治疗效果高于B组和A组（P＜0.05）；但C组的低血糖发生率高于B组和A组（P＜0.05）。结论 2型糖尿病患者在餐后90min进行有氧运动与中医康复运动操，可有效改善血糖水平和血压状况，稳定心率，具有一定的临床参考价值。

Abstract

Objective To explore the effects of aerobic exercise and traditional Chinese medicine rehabilitation exercises at different postprandial time points on blood glucose in patients with type 2 diabetes mellitus.
Methods 120 patients with type 2 diabetes mellitus admitted to the Department of Endocrinology of Xinjiang Uygur Autonomous Region Traditional Chinese Medicine Hospital from January to December 2022 were included in this study. Based on the timing of exercise after lunch, they were divided into three groups (A, B, and C), with 40 patients in each group. Exercise was performed at 60 min, 90 min, and 120 min after lunch, respectively. Fasting blood glucose levels, pre-exercise, immediate post-exercise, and bedtime blood glucose levels were compared among the three groups, and the average values were used for evaluation. Blood pressure and heart rate were also measured before and after exercise.
Results Group C showed better blood glucose levels immediately after exercise and before bedtime than Groups B and A (P < 0.05); Group C also had better blood pressure and heart rate than Groups B and A (P < 0.05); the treatment effect in Group C was higher than that in Groups B and A (P < 0.05); however, the incidence of hypoglycemia in Group C was higher than that in Groups B and A (P < 0.05).
Conclusion   Postprandial aerobic exercise combined with traditional Chinese medicine rehabilitation exercises 90 minutes after a meal can effectively improve blood glucose and blood pressure levels and stabilize heart rate in patients with type 2 diabetes, and has certain clinical reference value.