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目的:探讨八段锦结合放松功对社区2型糖尿病伴情绪障碍患者的影响。方法:选取2012年3月-2013年10月某社区已建卡管理的糖尿病患者65例,随机分为观察组33例及对照组32例。对两组治疗前后的抑郁自评量表(SDS)和焦虑自评量表(SAS)进行评分,同时检测空腹血糖、餐后2h血糖、糖化血红蛋白含量在干预前后的变化进行比较。结果:两组干预后与干预前SAS分值比较,差异均有统计学意义(P<0.05);研究组干预后的SAS分值明显低于对照组,两组比较,差异显著(P<0.05)。两组干预后与干预前SDS分值比较,差异均有统计学意义(P<0.05);研究组干预后的SDS分值明显低于对照组,两组比较,差异显著(P<0.05)。两组患者治疗前后糖代谢指标比较,差异有统计学意义(P<0.05);观察组干预6个月后,其FPG、2hPG及HbA1C皆明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:八段锦结合放松功对社区2型糖尿病伴抑郁或焦虑患者心理生理都有一定程度的改善。
Objective: To investigate the effect of Baduanjin combined with relaxing exercises on patients with type 2 diabetes mellitus and mood disorder in community. Methods: From March 2012 to October 2013, 65 community-based diabetics were selected and divided into observation group (33 cases) and control group (32 cases). Before and after treatment, the self-rating depression scale (SDS) and anxiety self-rating scale (SAS) were scored, and the changes of fasting blood glucose, postprandial 2h blood glucose and glycosylated hemoglobin were compared before and after treatment. Results: SAS scores of the two groups after intervention were significantly lower than those before the intervention (P <0.05); SAS scores of the study group were significantly lower than those of the control group after intervention (P <0.05 ). There were significant differences in SDS scores between the two groups before and after intervention (P <0.05). SDS scores in the study group were significantly lower than those in the control group. There was significant difference between the two groups (P <0.05). The levels of FPG, 2hPG and HbA1C in the two groups were significantly lower than those in the control group after six months’ intervention (P <0.05). There was a significant difference between the two groups (P <0.05). Conclusion: Ba Duan Jin combined with relaxation exercises have some degree of improvement on the psychophysiology of patients with type 2 diabetes mellitus with depression or anxiety.