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目的探讨运动疗法对老年合并冠心病2型糖尿病(T2DM)患者血脂的影响。方法 2型糖尿病者共68例,分为3组;对照组,运动A组和运动B组,所有患者均进行1年以上随访,对比运动治疗前后的血脂变化。结果运动A、B组患者随访1年后,BMI、甘油三酯和总胆固醇明显低于随访前,差异有统计学意义P<0.05;随访1年后运动A、B组患者的BMI、甘油三酯和总胆固醇明显低于对照组,差异有统计学意义P<0.05;以患者BMI为协变量进行的方差分析结果显示甘油三酯和总胆固醇运动B组低于A组,运动A组低于对照组,差异有统计学意义P<0.05。结论运动疗法有明显降低2型糖尿病患者血脂的作用。
Objective To investigate the effects of exercise therapy on blood lipids in elderly patients with type 2 diabetes mellitus (T2DM) with coronary heart disease. Methods A total of 68 patients with type 2 diabetes mellitus were divided into 3 groups: control group, exercise group A and exercise group B, all patients were followed up for more than 1 year, comparing the changes of blood lipid before and after exercise. Results After 1 year of follow-up, the BMI, triglyceride and total cholesterol of patients in group A and B were significantly lower than those before follow-up (P <0.05). After one year follow-up, the BMI, Cholesterol and total cholesterol were significantly lower than the control group, the difference was statistically significant P <0.05; analysis of variance analysis of patients BMI covariates showed that triglyceride and total cholesterol exercise B group was lower than A group, exercise A group was lower than The control group, the difference was statistically significant (P <0.05). Conclusion exercise therapy significantly reduce the role of blood lipid in type 2 diabetic patients.