综合营养干预对改善2型糖尿病患者血脂、血糖效果评价  

Effect of Comprehensive Nutrition Intervention on Blood Lipids and Glucose in Patients with Type 2 Diabetes

作　　者：王尊[1] 何书励[2] 李振水[3] 贾凯[4] 宋新[4] 段云卉[4] 许英霞[3] 郝春满[3] 刘思彤[1] WANG Zun HE Shu-li LI Zhen-shui JIA Kai SONG Xin DUAN Yun-hui XU Ying-xia HAO Chun-man LIU Si-tong(Department of Nutrition, Beijing Tongren Hospital Affricated to Capital Medical University, Beijing 100730, China Department of Nutrhion, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences ＆ Peking Union Medical College, Beijing 100730, China Department of Nutrition, Beijing Tiantan Hospital Affricated to Capital Medical University, Beijing 100050, China Department of Nutrition, Beijing Chaoyang Hospital Affiliate of Capital Medical University, Beijing 100020, China)

机构地区：[1]首都医科大学附属北京同仁医院营养科,北京100730 [2]中国医学科学院北京协和医院营养科,北京100730 [3]首都医科大学附属北京天坛医院营养科,北京100050 [4]首都医科大学附属北京朝阳医院营养科,北京100020

出　　处：《中国食物与营养》2017年第8期81-83,共3页Food and Nutrition in China

摘　　要：目的:了解综合营养干预对2型糖尿病患者血脂、血糖的影响。方法:选取前往医院就诊的2型糖尿病患者98人,随机分为干预组(49人)、对照组(49人)。对干预组人群开展为期6个月的膳食指导和符合营养制剂补充的综合营养干预,对照组不采取相应干预措施。结果:同基线数据相比干预组人群体重、甘油三酯、总胆固醇均有降低,对照组分别增加0.1±2.6kg、0.1±0.9mmol/L、0.5±3.3mmol/L,差异无统计学意义;干预组空腹血糖、餐后0.5h血糖、餐后1h血糖、餐后2h血糖变化值分别为-0.5±2.5、-0.8±3.1、-0.7±4.1、-0.5±4.7mmol/L,对照组分别为0.2±1.9、1.2±2.8、0.5±3.4、-0.7±4.0mmol/L。结论:综合营养干预对2型糖尿病患者血糖异常可起到一定程度的改善作用。Objective To investigate the effect of comprehensive nutrition intervention on blood lipids and glucose in patients with type 2 diabetes mellitus. Method Totally 98 Patients with type 2 diabetes mellitus were randomly selected and divided into intervention group（ 49 patients） and control group（ 49 patients）. A total of 6 months of comprehensive nutrition intervention including dietary guidance and nutritional supplements were conducted in the intervention group,and the control group did not take these interventions. Result The body weight,triglyceride and total cholesterol of the intervention group decreased by-0. 1 ± 3. 2kg,-0. 1 ± 0. 9mmol/L,-0. 3 ±1. 7mmol/L,but increased by 0. 1 ± 2. 6kg、0. 1 ± 0. 9mmol/L,0. 5 ± 3. 3mmol/L in control group,the difference was not significant.The fasting blood glucose,0. 5h postprandial glucose,1. 0h postprandial glucose and 2. 0h postprandial glucose decreased by-0. 5 ±2. 5mmol/L,-0. 8 ± 3. 1mmol/L,-0. 7 ± 4. 1mmol/L and-0. 5 ± 4. 7mmol/L in the intervention group,but increased by 0. 2 ±1. 9mmol/L,1. 2 ± 2. 8mmol/L,0. 5 ± 3. 4mmol/L and-0. 7 ± 4. 0mmol/L in the control group. Conclusion Comprehensive nutrition intervention can decrease the blood glucose in patients with type 2 diabetes mellitus.

关 键 词：综合营养干预 2型糖尿病 血脂 血糖 

分 类 号：R587.1[医药卫生—内分泌]