糖尿病患者营养状况调查与饮食治疗效果评价  

Nutritional survey and dietary therapy effect on diabetes mellitus patients

作　　者：陈林军[1] 蔡东联[2] 林宁[2] 耿珊珊[2] 何芳[2] 曲丹[2] 王莹[2] 乔晓萍[2] 

机构地区：[1]上海职工医学院预防医学系,上海200234 [2]第二军医大学长海医院营养科,上海200433

出　　处：《武警医学》2009年第2期110-112,共3页Medical Journal of the Chinese People's Armed Police Force

基　　金：上海市科委重大科技攻关基金资助(04DZ19506)

摘　　要：目的调查2型糖尿病患者的营养状况，评价饮食治疗效果。方法245名志愿者签署知情同意书，参加体检并接受营养咨询。其中143名确诊为2型糖尿病患者进行抽血检查，80名利用糖尿病专家治疗系统严格进行为期1个月的个体化饮食治疗，其余患者糖尿病饮食控制专家系统提供配餐指导。结果245名志愿者年龄36．87岁，平均（62．86±10．35）岁。BMI〈18．5为3．96％，18．6—23．9为46．34％，〉24为49．76％。143例糖尿病患者空腹血糖均高于6．2mmol／L，87％患者至少有1种以上的并发症。80例糖尿病患者开始饮食治疗时血糖为（10．8±1．7）mmol／L，治疗第15天时为68例（80．95％）血糖降低，治疗第30天时为72例（92．36％）。血清总胆同醇和三酰甘油1个月饮食治疗后，恢复正常水平。其余通过营养宣教的患者，饮食习惯和嗜好均有改进。结论2型糖尿病患者营养状况评价以体重超重为主，饮食治疗效果确实，应加强宣教，提倡合理饮食。Objective To investigate the nutritional status in patients with type 2 diabetes mellitus and to assess the effect of dietary therapy. Methods 245 volunteers with signed informed consent form underwent health examination and nutrition consultation. 143 patients diagnosed as having diabetes mellitus were subjected to blood examination, 80 of whom received individual dietary therapy strictly according to diabetes professional treatment system （treatment group） and the remaining patients received only dietary and nu- trition advice using the system （ control group）. Results Ages of 245 volunteers ranged from 36 to 87 years （ mean 62.86± 10. 35 years）. Those with BMI below 18.5 accounted for 3.96% ,those from 18.6 to 23.9 comprised 46.34% , and these beyond 24 constifufed 49.76%. Blood glucose levels in 143 patients were higher than 6.2 mmol/L, 87% of whom had more than one complications. The blood glucose levels in treatment group were 10.8 _＋ 1.7mmol/L at the beginning, which significantly decreased in 68 patients on the 15th day and in 72 on the 30th day. Plasma levels of total cholesterol and triglyceride in 80 patients decreased to normal since they had been treated by dietary therapy. Patients in control group also showed improvement in their diet habit and hobby. Conclusions The primary problem of diabetes is overweight. The effect of dietary therapy is remarkable and related health education should be enhanced. The results suggest that diabetic patients should have reasonable dietary, eat less at one time and have more meals in a day. More physical exercises would be good for decreasing their blood glucose and lipid levels.

关 键 词：糖尿病 营养调查 饮食治疗 

分 类 号：R587.1[医药卫生—内分泌]