目的探讨运动疗法对老年2型糖尿病患者预防骨质疏松的作用。方法 2009年7月-2013年6月在我院就诊的老年2型糖尿病患者随机分为2组,实验组58人,男性26人,女性32人,平均年龄(77.4±6.9)岁;对照组49人,男性23人,女性26人,平均年龄(76.4±7.1)岁。实验组在常规治疗基础上进行有氧运动、阻抗训练,分别于住院时和运动治疗6个月后进行骨密度检测。结果 (1)对照组治疗前后比较,空腹血糖(FBG)、糖化血红蛋白(HbA1C)、体重指数(BMI)、骨密度(BMD)差异无统计学意义;实验组治疗前后比较,L2-4、股骨颈和Wards三角骨密度较治疗前明显增高,FBG、HbA1C、BMI明显降低,P均<0.05。(2)2组治疗前后差值之间的比较,实验组L2-4、股骨颈和Wards三角骨密度差值明显高于对照组,FBG、HbA1C、BMI明显低于对照组,P均<0.05。(3)治疗过程中,无肌肉扭伤、关节脱位、骨折等不良事件发生。结论运动疗法对老年2型糖尿病患者预防骨质疏松有一定的作用并且能够某种程度提升患者的生活质量。 Objective To investigate the effect of exercise therapy on prevention of osteoporosis in elderly type 2 diabetic patients. Methods From July 2009 to June 2013, elderly type 2 diabetic patients treated in our hospital were randomly divided into two groups. The experimental group consisted of 58 males and 26 females with a mean age of 77.4 ± 6.9 years. The control group 49, 23 males and 26 females, with an average age of (76.4 ± 7.1) years. The experimental group was subjected to aerobic exercise and impedance training on the basis of routine treatment, and the bone mineral density was measured 6 months after hospitalization and exercise therapy respectively. Results There was no significant difference in fasting blood glucose (FBG), HbA1C, BMI and BMD before and after treatment in the control group. Before and after treatment in the experimental group, L2-4, femur The BMD of neck and Wards triangle were significantly higher than those before treatment, FBG, HbA1C and BMI were significantly decreased, all P <0.05. (2) The difference between the two groups before and after treatment, the difference of L2-4, femoral neck and Wards triangle BMD in the experimental group was significantly higher than that in the control group, FBG, HbA1C, BMI was significantly lower than the control group, P <0.05 . (3) During the treatment, no muscle sprain, joint dislocation, fracture and other adverse events occurred. Conclusion Exercise therapy can prevent osteoporosis in elderly patients with type 2 diabetes and can improve patients’ quality of life to some extent.