摘要
目的探讨饮食健康教育处方对2型糖尿病患者的干预效果。方法选取该院内分泌科2018年7月—2020年6月收治的2型糖尿病患者120例,通过随机数表法分为对照组(n=60)及研究组(n=60)。对照组给予常规饮食健康教育进行干预,研究组在对照组的基础上给予饮食健康教育处方进行干预,两组均持续干预至出院。比较两组干预前后的营养物质、热能摄入量、血糖、血脂水平及肝功能。结果干预后,两组碳水化合物、脂肪、热能摄入量、全血糖化血红蛋白(HbAlc)、餐后2 h血糖(2 hPG)、空腹血糖(FPG)水平较干预前降低,研究组低于对照组,差异有统计学意义(P<0.05);而蛋白质摄入量较干预前升高,研究组高于对照组,差异有统计学意义(P<0.05)。干预后,两组血清总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)水平较干预前降低,研究组低于对照组,差异有统计学意义(P<0.05)。干预后,两组谷草转氨酶(AST)、谷丙转氨酶(ALT)达标率均高于干预前(90.00%vs 73.33%、93.33%vs76.67%,83.33%vs 70.00%、83.33%vs 70.00%),差异有统计学意义(P<0.05);但组间AST、ALT达标率比较,差异无统计学意义(P>0.05)。结论饮食健康教育处方干预可明显控制2型糖尿病患者营养物质及热能摄入量,并可调节患者糖脂代谢,且对患者肝功能的影响不明显,值得推广。
Objective To investigate the effect of dietary health education prescription in patients with type 2 diabetes.Methods Taking 120 patients with type 2 diabetes admitted to the department of endocrinology,affiliated hospital of Guangdong medical university from July 2018 to June 2020 as the research subjects,they were divided into a control group(n=60) and a study group(n=60) by a random number table.The control group was given regular dietary health education for intervention,and the study group was given dietary health education prescriptions on the basis of the control group for intervention.Both groups continued to intervene until they were discharged from the hospital.The nutrients,caloric energy intake,blood glucose,blood lipid levels and liver function of the two groups before and after intervention were compared.Results After the intervention,the levels of carbohydrate,fat,caloric energy intake,fully glycated hemoglobin(Hb Alc),2 h postprandial blood glucose(2 h PG),and fasting blood glucose(FPG) levels in the two groups were lower than before the intervention,and the study group was lower than the control group,the difference was statistically significant( P<0.05);while the protein intake was higher than before the intervention,and the study group was higher than the control group,the difference was statistically significant(P<0.05).After the intervention,the two groups of serum total cholesterol(TC),triacylglycerol(TG),low-density lipoprotein cholesterol(LDL-C) levels were lower than before the intervention,the study group was lower than the control group,the difference was statistically significant(P<0.05).After the intervention,the compliance rates of the two groups of aspartate aminotransferase(AST) and alanine aminotransferase(ALT) were higher than before the intervention(90.00% vs 73.33%,93.33% vs 76.67%,83.33% vs 70.00%,83.33% vs 70.00%).The difference was statistically significant(P<0.05);but there was no statistically significant difference in the AST and ALT compliance rates between the groups(P>0.05).Conclusion Dietary health education prescription intervention could significantly control the intake of nutrients and heat energy in patients with type 2 diabetes,and could regulate the metabolism of glucose and lipids in patients,and the effect on the liver function of the patient was not obvious.It was worthy of promotion.
作者
支李金
周飞
陈文璞
ZHI Lijin;ZHOU Fei;CHEN Wenpu(Department of Endocrinology, Affiliated Hospital of Guangdong Medical University)
出处
《糖尿病新世界》
2021年第19期22-25,共4页
Diabetes New World Magazine
基金
广东省湛江市非资助科技攻关项目(2018B01072)。
关键词
2型糖尿病
饮食健康教育处方
血糖
血脂
肝功能
Type 2 diabetes
Dietary health education prescription
Blood glucose
Blood lipids
Liver function
