【摘要】 目的评价糖尿病量化运动处方在2型糖尿病患者中应用的安全性。方法运动处方按运动量由小到大依次分为1~5级。选择80例2型糖尿病患者,每位患者均从运动量最小的处方1做起,然后依次递增至运动量最大的处方5,每级处方均连续3 d。运动时间选择在晚餐后1 h。每个运动处方的运动时间设为60 min。运动前、运动结束即刻、运动结束后4、12 h分别测定心率、血压、血氧饱和度,计算低血糖发生率,以评估量化运动处方的安全性。结果运动结束即刻、运动结束后4 h及12 h的心率、收缩压、舒张压及血氧饱和度均在正常值范围,运动结束即刻无低血糖发生,运动结束后4 h及12 h低血糖发生率为1.25%(1/80)~2.5%(2/80)。结论糖尿病量化运动处方是2型糖尿病患者安全的运动干预措施;1~5级糖尿病量化运动处方对2型糖尿病患者实施个体化运动干预提供了更多的选择。更多还原

【Abstract】 Objective To evaluate the security of quantified exercises prescription for type 2 diabetes mellitus. Method 1 to 5 grades prescriptions were designed according to different exercises.80 patients of type 2 diabetes mellitus were treated by 1 to 5 grades exercise prescriptions.Each patient started from a minimum amount of exercise prescription 1 for three days one hour after dinner.Then the patient followed by increasing the grade of exercise prescription every three days,until the greatest amount of exercise prescription 5.Exercise time of each exercise prescription was 60 minutes.Heart rate,blood pressure,PaO2 and hypoglycemia were measured before exercise,at instant after exercise,4 hours and 12 hours after exercise for all patients,so that the security of quantified exercises prescription could be evaluated.Result The values of heart rate,systolic blood pressure,diastolic blood pressure and PaO2 were within the normal range at instant after exercise,4 hours and 12 hours after exercise.There is no hypoglycemia patient at instant after exercise.The incidence of hypoglycemia is 1.25%(1/80) to 2.5%(2/80) 4 hours and 12 hours after exercise.Conclusion Quantified exercises prescription of diabetes mellitus is safe exercise therapy for type 2 diabetes mellitus.1 to 5 grades exercise prescriptions provide more choices of individual exercise therapy for type 2 diabetes mellitus patients.更多还原