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刘淮玉, 唐毅, 徐慧华, 吴建华, 钱利年, 李兵, 许洁, 郭红卫. 社区2型糖尿病营养干预的对比研究[J]. 中国公共卫生, 2002, 18(6): 685-688. DOI: 10.11847/zgggws2002-18-06-23
引用本文: 刘淮玉, 唐毅, 徐慧华, 吴建华, 钱利年, 李兵, 许洁, 郭红卫. 社区2型糖尿病营养干预的对比研究[J]. 中国公共卫生, 2002, 18(6): 685-688. DOI: 10.11847/zgggws2002-18-06-23
LIU Huai-yu, TANG Yi, XU Hui-hua, . Comparative Study on Nutritional Intervention on NIDDM in Community[J]. Chinese Journal of Public Health, 2002, 18(6): 685-688. DOI: 10.11847/zgggws2002-18-06-23
Citation: LIU Huai-yu, TANG Yi, XU Hui-hua, . Comparative Study on Nutritional Intervention on NIDDM in Community[J]. Chinese Journal of Public Health, 2002, 18(6): 685-688. DOI: 10.11847/zgggws2002-18-06-23

社区2型糖尿病营养干预的对比研究

Comparative Study on Nutritional Intervention on NIDDM in Community

  • 摘要: 目的 探索对社区中老年2型糖尿病的营养干预措施,更加有效地控制糖尿病并发症的发生与发展,提高患者的生命质量.方法 从某社区选取已确诊的非住院2型糖尿病患者60例,采用配对设计分为干预组和对照组.干预组除给予药物治疗外还采取膳食指导、健康教育、营养干预等措施,对照组为单纯药物治疗组.用配对t检验、χ2分析对资料进行处理.结果 干预前两组糖尿病人群三餐热能分配比不合理、动物性脂肪摄入偏高、膳食纤维摄入较少.均存在钙、锌、视黄醇、维生素B2摄入不足,分别低于RDA的50%、27%、54%和46%.采取营养干预措施后干预组与对照组比较,营养缺乏和营养比例不平衡问题得到改善;空腹血糖、餐后2小时血糖、糖基化血红蛋白、血清胆固醇、甘油三酯等指标均有显著降低.结论 2型糖尿病病人膳食结构不合理;营养干预对防治2型糖尿病有效;本干预方案可在社区推广.

     

    Abstract: Objective To investigate the effective nutritional intervention on the middle-aged and old NIDDM patients in community,to control the occurrence and development of the NIDDM's complication more effectively and to improve the patients'life quality.Methods To sample 60 patients who were made a definite diagnosis.They were divided into the intervention group and the control group by adopting mate pair designing.In addition to medicine treatment,the patients in the intervention group were given diet guide,counsel of nutritional education,nutritional intervention and so on.The patients in the control group were given drug treatment.The data was analysed by matched-t test and χ2 test.Results Before intervention energy distribution of three meals of both groups was irrational,fat in take of animale was higher,fibre intake was insufficient.Ca,Zn,VA and VB2 in both groups were insufficieit.They were RDA 50%,27%,54% and 46% respectively.After intervention,the lack and unbalance of nutrition were improved after intervention.Compared with the control group,the blood sugar on an empty stomach,blood sugar 2 hours after meal,hemoglobin of glycosylation,and cholesterol as well as triglyceride in serum were significantly lower in the intervention group.Conclusion The diet constitution of the NIDDM patients are not reasonable,nutritional intervention is effective for prevention and treatment of NIDDM,this intervention scheme can be popularized in community.

     

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