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[康复治疗能否改善糖尿病患者的代偿功能?]

[Does reconditioning improve compensation in diabetics?].

作者信息

Lacigová S, Rusavý Z, Holecek T, Srámek V, Novák I, Tĕsínský P, Steinhäuselová D

机构信息

I. interní klinika FN Plzen.

出版信息

Vnitr Lek. 1994 Jul;40(7):429-32.

PMID:8073659
Abstract

The authors evaluate the short-term and long-term effect of a ten-day educational camp on metabolic compensation, the physical and mental state and knowledge of the disease in 30 diabetics type I, mean age 29 years (range 17-45 years) with a duration of diabetes of 6.3 years (plus minus 5.6). After processing of individual parameters at the onset, after termination of reconditioning and after two subsequent months the authors revealed after evaluation by the paired t-test a statistically insignificant drop of the mean blood sugar level after reconditioning. After two months the mean blood sugar level rose again insignificantly and an insignificant decline of glycosylated haemoglobin occurred. After reconditioning a statistically significant decline of insulin consumption occurred (p < 0.01) but after two months the consumption returned to the original level. A significant increase was recorded in the knowledge of the disease (p < 0.05) and an increase in physical fitness (p < 0.01). The authors consider thus that the positive effect of reconditioning is mainly in training of a proper lifestyle, learning of self-monitoring and psychic improvement.

摘要

作者评估了一个为期十天的教育营对30名I型糖尿病患者(平均年龄29岁,范围17 - 45岁,糖尿病病程6.3年 5.6年)的代谢代偿、身心状态及疾病知识的短期和长期影响。在开始时、康复训练结束后以及随后两个月对各项参数进行处理后,作者通过配对t检验评估发现,康复训练后平均血糖水平有统计学上不显著的下降。两个月后,平均血糖水平再次出现不显著上升,糖化血红蛋白出现不显著下降。康复训练后胰岛素消耗量出现统计学上的显著下降(p < 0.01),但两个月后消耗量又回到了原来的水平。疾病知识有显著增加(p < 0.05),身体素质也有所提高(p < 0.01)。作者因此认为,康复训练的积极作用主要在于培养适当的生活方式、学习自我监测以及改善心理状态。

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1
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