同时训练对T2DM相关的外周动脉疾病患者的血糖和血管参数的影响
Uroosa Amin1, Qurat-Ul-Ain Adnan2, Tauseef Ahmad3
1Uroosa Amin, Ziauddin College of Rehabilitation Sciences, Ziauddin University, Khayaban-e-Saadi Road, Boat Basin, Karachi, Pakistan.
Pakistan journal of medical sciences
|September 16, 2024
概括
同时训练 (CT) 在患有外围动脉疾病 (PAD) 的2型糖尿病 (T2DM) 患者中显著改善了血糖控制和动脉血流. 与PAD康复的有氧训练相比,CT显示出更好的结果.
科学领域:
- 心血管康复心血管康复
- 代谢健康 代谢健康
- 周围动脉疾病管理管理
背景情况:
- 2型糖尿病 (T2DM) 经常与外周动脉疾病 (PAD) 相关,导致血糖控制受损和全身血流.
- 有效的康复策略对于管理T2DM相关的PAD和改善患者的治疗结果至关重要.
研究的目的:
- 评估同步训练 (CT) 在改善T2DM相关PAD患者的糖化血红素 (HbA1C) 和脚-手腕指数 (ABI) 的疗效.
- 为了比较CT与有氧训练 (AT) 对该人群的血糖和血管参数的影响.
主要方法:
- 一个随机,单盲,双臂试验,涉及80名患有T2DM相关PAD的患者.
- 参与者被分配到CT组或AT组12周,每周有3次监督会议.
- 在基线和12周干预期后测量HbA1C和ABI.
主要成果:
- 无论是CT还是AT组,HbA1C和ABI均显著改善 (p<0.000).
- 与AT组相比,CT组在HbA1C (p=0.002) 和ABI (p=0.0001) 中表现出明显更大的改善.
- 具体改善:CT从9.53%降低HbA1C到7.81%并增加ABI从0.84到0.94;AT从8.74%降低HbA1C到8.15%并增加ABI从0.82到0.86.
结论:
- 同步训练 (CT) 是一种高效的治疗方法,用于康复T2DM相关的PAD.
- 与有氧训练 (AT) 相比,CT显示血糖控制和动脉血流的两倍改善.
- 在T2DM患者中,CT提供了一种优越的策略来管理Fontaine的IIa阶段PAD.
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