糖尿病患者营养干预效果评价

目的 了解营养干预对糖尿病患者的治疗效果,以探索对糖尿病切实有效的营养干预措施.方法 选取临床确诊的门诊糖尿病患者278例,采用配对设计将其分为营养干预组和对照组.在给予药物治疗的同时,营养干预组还采取综合的营养干预措施.干预前后对2组患者进行膳食调查及相关生化指标测定,以观察营养干预的效果.结果 采用营养干预措施后,2组空腹血糖、餐后2 h血糖、糖化血红蛋白、血清胆固醇、甘油三酯等生化指标均降低,但干预组与对照组比较干预组效果更为明显;干预组饮食结构更为合理.结论 当前糖尿病患者群的膳食质量存在问题;糖尿病患者在使用药物治疗同时注意合理饮食和营养,对改善糖尿病临床症状,控制血糖,延缓糖尿病并发症的发生,有明显的促进作用.

An Evaluation of Effects of Nutrition Intervention on Diabetic Patients

Objective To learn the treating effect of a nutrition intervention program on diabetic patients and to explore effective intervention measures. Methods 278 diabetic patients with clinical diagnosis were selected and divided into intervention group and control group by matched-pair design. While on medication, patients in the intervention group were given general nutrition intervention and patients in the control group were simply reminded about related nutritious diet by clinic doctors. Before and after the intervention program, patients in both groups were investigated on meals, diabetic nutrition knowledge and were detected for correlative biochemical indices. Results After the intervention, patients' biochemical indices of fasting blood-glucose, blood sugar 2 hours after meal, hemoglobin of glycosylation, cholesterol and triglyceride in serum in both groups were significantly lower. Compared with the control group, the effect of the intervention group was even better. The acknowledgement rate of nutrition knowledge on diabetes of the intervention group improved significantly, and their meals were more scientifically arranged. Conclusion There were some problems on the dietary quality of diabetic patients. If diabetic patients paid more attention to the rational diet and nutrition while on medication, it would be very helpful for them to alleviate their clinical symptoms, control their blood-sugar level, as well as delay the occurrence of the diabetic complications.