低血糖指数食物交换份法在老年2型糖尿病饮食健康教育中的应用效果  

Application of low glycemic index dietary regimen in dietary education for elderly type 2 diabetic patients

作　　者：黄金燕[1] 申海燕[1] 李美[1] 

机构地区：[1]江苏省南通市第三人民医院老年科,江苏南通226001

出　　处：《中西医结合护理（中英文）》2016年第4期86-88,共3页Journal of Clinical Nursing in Practice

基　　金：南通市卫生局青年(中国)基金资助(WQ2014033)

摘　　要：目的探讨低血糖指数食物交换份法在2型糖尿病老年患者饮食健康教育过程中的应用效果。方法 80例经口服降糖药物治疗的老年2型糖尿病患者随机分成对照组和研究组,各40例。对照组采用普通饮食交换份法进行饮食健康教育,研究组采用低血糖指数食物交换份法进行饮食健康教育。2组患者均接受为期3个月的干预。观察2组干预前后的体质量指数(BMI)、血糖、血脂及蛋白营养状况等指标的变化。结果干预后2组患者空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(Hb Alc)、甘油三酯(TG)、BMI指标均较干预前降低,差异有统计学意义(P<0.01),且研究组低于对照组,差异有统计学意义(P<0.01)。而2组患者干预前后的总胆固醇(TC)、转铁蛋白(TRF)、白蛋白(ALB)、前白蛋白(PA)指标差异无统计学意义(P>0.05)。结论在2型糖尿病老年患者的饮食健康教育过程中应用低血糖指数食物交换份法能够有效提高患者的血糖、血脂控制效果,降低体质量。Objective To investigate the efficacy of low glycemic index dietary regimen in dietary education for elderly type 2 diabetic patients. Methods A total of 80 type 2 diabetic patients who were administrated with oral hypoglycemic agents were randomly divided into the control group and the study group,with 40 cases in each group. The control group was performed with dietary education based on normal dietary regimen,while the study group was given dietary education based on low glycemic index dietary regimen. The dietary education lasted for there months. The body mass index( BMI),levels of blood glucose,blood lipid and Protein-related nutrition indicators before and after intervention were observed and compared between two groups. Results Levels of fasting blood glucose( FBG),2 h postprandial blood glucose( 2 h PBG),hemoglobin A1c( Hb Alc),triglyceride( TG) and BMI were decreased in both of two groups after intervention( P < 0. 01),and were significantly lower in the study group than those of controls( P < 0. 01). There was no significant difference in total cholesterol( TC),transferrin( TRF),albumin( ALB) or Prealbumin( PA) between two groups after intervention( P > 0. 05). Conclusion During dietary education for elderly type 2 diabetic patients,a low glycemic index dietary regimen can help patients to control the blood lipid and glucose levels,and to reduce the body weight.

关 键 词：2型糖尿病 饮食健康教育 低血糖指数食物交换份法 血糖 血脂 

分 类 号：R473.5[医药卫生—护理学]