广州医科大学学报

目的：探究运动处方联合Keep软件辅助下适当强度运动对中年2型糖尿病合并肥胖患者影响。方法：本次研究纳入72例中年2型糖尿病合并肥胖患者，脱落12例，采取随机数字表法将患者分为两组，对照组患者（30例）常规护理干预，观察组患者（30例）在对照组干预基础上结合运动处方及Keep软件辅助下适当强度运动，比较两组患者治疗前后血糖水平变化、体重指标变化及血脂水平变化、治疗后患者血压情况、患者干预依从率及满意率。结果：干预前，两组患者空腹血糖、餐后2 h血糖及糖化血红蛋白、体质指数（BMI）、基础代谢率（BMR）、腰臀比（WHR）、甘油三酯及胆固醇、血压等指标比较，P>0.05，干预后，观察组患者空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于对照组，BMI及WHR低于对照组，BMR高于对照组，甘油三酯及胆固醇均低于对照组，收缩压及舒张压均低于对照组，P<0.05；观察组患者依从率及满意率均高于对照组，P<0.05。结论：运动处方联合Keep软件辅助下适当强度运动对中年2型糖尿病合并肥胖患者具有积极影响，患者血糖、血脂、血压水平稳定，体质量改善，依从率及满意率均较高。

Objective:To investigate the effect of prescribed exercise combined with moderate-intensity exercise guided by the application Keep in middle-aged patients with type 2 diabetes mellitus(T2DM)and obesity.Methods:A total of 72 middle-aged patients with T2DM and obesity were recruited for this study,and 12finally dropped out. The participants were divided into two groups by random number table,namely the control group(n= 30)on routine nursing intervention,and the study group( n= 30)on prescribed exercise plus moderate-intensity exercise guided by the application Keep,in addition to the nursing intervention given in the control group. Before and after the interventions,the two groups of patients were compared for the changes in blood sugar,body mass index(BMI),and blood lipids. The blood pressure,patient compliance and satisfaction after interventions were also compared between groups.Results:Before intervention,the two groups were comparable in fasting blood glucose,2-h postprandial blood glucose and glycosylated hemoglobin,BMI,basal metabolic rate(BMR),waist-hip ratio(WHR),triglyceride,cholesterol,and blood pressure(P>0.05). After intervention,the study group showed lower levels of fasting blood glucose,2-h postprandial blood glucose andglycosylated hemoglobin,lower BMI and WHR,higher BMR,and lower triglyceride and cholesterol levels,aswell as lower systolic and diastolic blood pressures,compared with the control group( P< 0.05). The patientcompliance and satisfaction was higher in the study group than that in the control group(P<0.05).Conclusion:Prescribed exercise combined with moderate intensity exercise guided by the application Keep offers benefits formiddle-aged T2DM patients with obesity,in terms of stable blood sugar,blood lipids and blood pressure,improved body mass,and high patient compliance and satisfaction.