论文部分内容阅读
目的观察体质调理对糖耐量异常(IGT)人群干预的效果。方法将400例IGT患者根据体质类型随机分为干预组和对照组,各200例;对照组给予常规健康教育,干预组在常规健康教育的基础上给予体质调理,周期1年。观察干预前后FPG、2hPG、血压、心率、BMI、WHR、中医证候积分及IGT转归情况。结果①干预组和对照组中医证候总显效率分别为68.0%和27.5%,组间疗效比较差异有统计学意义(P<0.05)。②干预1年后,干预组中医证候总积分明显下降(P<0.05),且低于对照组(P<0.05)。③干预后干预组BMI、WHR、FPG、2hPG明显改善(P<0.05),且其改善优于对照组(P<0.05)。④干预组糖尿病的发生率低于对照组(P<0.01)。结论体质调理可改善IGT患者的中医证候,逆转或延缓IGT向DM的发展。
Objective To observe the effect of body conditioning on the intervention of IGT population. Methods 400 IGT patients were randomly divided into intervention group and control group according to the type of constitution. Each group received 200 cases of normal health education. The intervention group was given physical conditioning on the basis of routine health education for one year. Before and after intervention, FPG, 2hPG, blood pressure, heart rate, BMI, WHR, TCM syndrome score and IGT outcome were observed. Results ① The total effective rates of TCM syndromes in intervention group and control group were 68.0% and 27.5%, respectively. There was significant difference in efficacy between two groups (P <0.05). ② After 1 year of intervention, the total score of TCM syndrome in intervention group decreased significantly (P <0.05), and lower than that in control group (P <0.05). ③ After intervention, BMI, WHR, FPG and 2hPG in intervention group were significantly improved (P <0.05), and the improvement was better than that in control group (P <0.05). ④ The incidence of diabetes in the intervention group was lower than that in the control group (P <0.01). Conclusion Physical conditioning can improve TCM syndromes in IGT patients and reverse or delay the development of IGT to DM.