| Objection:1.By observing community management traditional Qigong group and resistance exercises group,walking exercises group,Qigong control group,health education group of five different interventions on clinical efficacy in patients with type 2 diabetes,to investigate the clinical efficacy of traditional Qigong Baduanjin in community management patients with type 2 diabetes brocade to regulate blood glucose homeostasis,and to explore the effect and method of traditional Qigong in community management of type 2 diabetes promotion.2.Using image changes in the hypothalamus region of diabetic patients before and after practicing Baduanjin with brain functional magnetic resonance imaging,to investigate the central mechanism of traditional Qigong Baduanjin regulate blood glucose homeostasis.Method:A total of 60 patients with type 2 diabetes mellitus using number multiple grouping were randomly divided into community management traditional Qigong group,walking exercises group,resistance exercises group,Qigong control group and health education group with 12 cases in each mission.Health education group:On the basis of health education on the basis of patients,to maintain their original way of life unchanged,do not participate in any sports training.Qigong control group:2 weeks before the intervention to focus on learning Baduanjin,followed by a monthly focus on the practice of training,other time self-practice,twice a day.Walking exercises group:Patients walk twice a day,a total of 30 minutes required to achieve moderate pace,maximum heart rate of 60%.Resistance exercises group:Patient resistance movement exercises twice a day,five days a week to practice.Community management traditional Qigong group:Patients are concentrated in the designated place every day to practice traditional Qigong Baduanjin twice a week for 5 days.The study were conducted for 6 months.Before intervention,intervention for 3 months,intervention for 6 months,five groups of patients were tested for fasting blood glucose,2h postprandial blood sugar,glycosylated hemoglobin,serum insulin concentration,total cholesterol,triglycerides,high density lipoprotein,low density lipoprotein,and the relevant biochemical data were analyzed.In the community management traditional Qigong group,three patients were randomly selected.The brain function magnetic resonance examination was performed before the intervention and 6 months after the intervention.The data were analyzed by SPM software to obtain the neuronal activation or suppression images in the hypothalamic area before and after the intervention.Result:1.LAfter 3 months of intervention,fasting blood glucose,serum insulin and total cholesterol were significantly improved in the five groups(P<0.05),and community management traditional Qigong group in fasting blood glucose was significantly better than health education group(P<0.05),in postprandial blood glucose was significantly better than walking exercises group and health education group(P<0.05),in glycosylated hemoglobin was significantly better than health education group(P<0.05),in total cholesterol was significantly better than walking exercises group(P<0.05).2.After 6 months of intervention,fasting blood glucose,postprandial blood glucose,glycosylated hemoglobin,serum insulin,total cholesterol,triglycerides,low density lipoprotein were significantly improved in the five groups(P<0.05),and community management traditional Qigong group in fasting blood glucose was significantly better than walking exercises group,Qigong control group and health education group(P<0.05),in postprandial blood glucose was significantly better than walking exercises group,Qigong control group and health education group(P<0.05),in glycosylated hemoglobin was significantly better than Qigong control group and health education group(P<0.05),in serum insulin was significantly better than walking exercises group,Qigong control group and health education group(P<0.05),in total cholesterol was significantly better than walking exercises group,Qigong control group and health education group(P<0.05),in triglycerides was significantly better than resistance exercises group,walking exercises group and health education group(P<0.05),in high density lipoprotein was significantly better than Qigong control group and health education group(P<0.05),in low density lipoprotein was significantly better than the other four groups(P<0.05).3.Intervention 6 months before and after comparison,the community Qigong group of diabetic patients with hypothalamic-related areas of varying degrees of activation or inhibition.Conclusion:Community management under the practice of Baduanjin for type 2 diabetes patients with fasting blood glucose,postprandial blood glucose,glycosylated hemoglobin,total cholesterol,triglycerides,high density lipoprotein,low density lipoprotein,etc.have a good regulatory effect,can reduce the body insulin Resistance,increase the peripheral system of insulin sensitivity,so as to achieve the role of regulating blood glucose homeostasis in patients with diabetes.Brain functional magnetic resonance studies have shown that community management under the long-term effective practice Baduanjin can play a role in the central system to affect the blood glucose balance in diabetic patients to improve its blood glucose metabolism. |
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