全程饮食干预模式对糖尿病合并非酒精脂肪肝患者血糖、血脂达标率及生活质量影响的研究

目的：探讨采用PDCA循环引导的全程饮食干预模式对2型糖尿病（T2DM）合并非酒精性脂肪肝（NAFLD）患者定期随访，对其血糖、血脂达标率以及生活质量的影响。方法：选择T2DM合并NAFLD的患者101例，采用随机数字表分组。实验组在常规饮食随访的同时，应用PDCA循环引导的全程饮食干预模式随访；对照组进行常规饮食随访模式。观察两组随访前、随访后3个月、随访后6个月的血糖、血脂达标率以及生活质量状况的变化。结果：随访后3个月，实验组FPG、2hPG、HbAlc、TG、LDL—C等代谢指标达标率的改善优于对照组（P〈0．05）；两组WC、BMI、TC、HDL—C、ALT、AST等代谢指标达标率比较，差异无统计学意义（P〉0．05）；随访后6个月，实验组we、BMI、FPG、2hPG、HbAlc、TC、TG、LDLC、HDL—C、ALT、AST等代谢指标达标率的改善均明显优于对照组（P〈0．05）；随访后6个月两组生活质量状况差异具有统计学意义（P〈0．05）。结论：采用PDCA循环引导的全程饮食干预模式对患者进行定期随访，能提高患者的饮食依从性，提高血糖、血脂的达标率，提高患者的生活质量。

The effect of dietary intervention mode guided by PDCA cycle on blood glucose,blood lipid and quality of life of diabetes mellitus patients with nonalcoholic fatty liver

Objective： To explore the effect of dietary intervention mode guided by PDCA cycle on blood glucose, blood lipid and quality of life of type 2 diabetes mellitus （T2DM） patients with non-alcoholic fatty liver disease （NAFLD）. Methods： 101 T2DM patients with NAFLD were assigned into two groups by using random number table. In experimental group, patients received routine diet follow-up plus follow-up using the diet intervention mode guided by PDCA cycle throughout the whole period. In control group, patients were given routine diet follow-up only. Patients＇ success rates of blood lipids and blood glucose, and their quality of life were assessed before the intervention and 3 months and 6 months after the follow-up. Results： After following up for 3 months, metabolism index such as FPG, 2hPG, HbA1C, TG, LDL-C, etc. in experimental group were better than those in control group （P〈0.05）. Metabolism index such as WC, BMI, TC, HDL-C, ALT, AST, etc. in the two groups showed no statistically significant difference （P〉0.05）. After following up for 6 months, metabolism index such as WC, BMI, FPG, 2hPG, HbAlc, TC, TG, LDL-C, HDL-C, ALT, AST, etc. in experimental group were better than those in control group （P〈0.05）. Meanwhile, qualities of life were statistically significant different in the two groups （P〈0.05）. Conclusions： The diet intervention mode guided by PDCA cycle can improve dietary compliance of patients, increase success rates of blood glucose and blood lipid, and enhance patients＇ quality of life.