不同体重管理模式对糖尿病并发症风险因素控制效果的对比研究  

Comparative Study of Different Weight Management Mode Control Effect on the Risk Factors of Diabetic Complications

作　　者：王宇琴[1] 冉隆梅[1] 陈金荣[1] 林添海[1] 李晴[1] 

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《中国医学创新》2017年第18期14-19,共6页Medical Innovation of China

摘　　要：目的:比较不同体重管理模式对糖尿病超重及肥胖者的体重控制效果,同时观察体重变化对患者血压、血糖、血脂及体成分等相关并发症风险因素的影响。方法:对2015年3-7月广州市第一人民医院磐松楼体检中心体检人员中检出的超重和肥胖的2型糖尿病人群进行筛选,采用自愿报名、严格筛选的方法选择其中80例作为研究对象,随机分为试验组和对照组,各40例。对照组采取药物治疗、传统健康教育、开展为期16周的疾病管理;试验组在对照组的基础上由健康管理医生按照流程化阶段管理模式进行个性化动态饮食、运动处方干预健康管理。比较两组研究对象管理前后的体重、体成分、血压、空腹血糖、糖化血红蛋白、血脂四项等糖尿病及其并发症风险因素的变化情况并行统计分析。结果:试验组40例患者全部完成观察,对照组有7例未能完成试验观察。经过16周不同干预方式的体重管理后,两组各项观察指标较干预前均有不同程度的改善,试验组干预后的肌肉含量与干预前比较,差异无统计学意义(P>0.05),其他观察指标与干预前比较,差异均有统计学意义(P<0.05);对照组干预后的舒张压与干预前比较,差异有统计学意义(P<0.05),其他观察指标与干预前比较,差异均无统计学意义(P>0.05)。两组观察指标的改善值二分类比较显示除收缩压和胆固醇外,其他各项指标试验组均优于对照组,差异均有统计学意义(P<0.05)。结论:对糖尿病超重和肥胖者实施除药物治疗和传统健康教育外的个性化动态饮食、运动处方生活方式干预,跟踪指导进行体重管理能更有效控制体重,降低糖尿病并发症相关风险因素。Objective：To compare the different weight management modes in overweight and obese diabetes weight control effect,and observe the weight change on blood pressure in patients with blood glucose,blood lipid and body composition effects,complications related to risk factors.Method：Based on the principle of apply voluntarily,screen strictly,80 subjects for research who were overweight and diagnosed with 2 type diabetes in the Geriatric Department of the Guangzhou First People＇s Hospital during March 2015 to July 2015 were chosen,the 80 diabetic patients were randomly assigned into experiment group and control group,40 cases in each group.The control group took the drugs,health education,and network self-health management for 16 weeks;the experiment group on the base of the control group＇s treatment,undertook diet and exercise intervention and disease measures by health management professional doctors according to the process mode.The changes of risk factors such as body weight,body composition,blood pressure,fasting blood glucose,glycosylated hemoglobin,blood lipid,four items of diabetes and their complications were compared between the two groups before and after the management.Result：40 patients in the experimental group were all observed,and 7 cases in the control group failed to complete the experimental observation.After 16 weeks of weight management in different interventions,the observation indexes of the two groups were improved to some extent compared with those before the intervention,but there was no significant difference in the muscle content between the experimental group and the intervention group（P〈0.05）;there were significant differences between the other observation indexes and those before intervention（P〈0.05）;the diastolic blood pressure in the control group was significantly different from that before the intervention（P〈0.05）,there were no significant differences between the other indexes and the intervention（P〉0.05）.The improvement of observation index of two gr

关 键 词：糖尿病 体重管理 风险因素 

分 类 号：R587.2[医药卫生—内分泌]