燕麦饮食干预在社区2型糖尿病饮食治疗中的应用研究  

Applied research of oat dietary intervention in diet therapy of type 2 diabetes mellitus in community

作　　者：杨兰兰[1] 徐曼[2] 董方虹[1] 张素仙[1] 宋志欣 王芳 Lan-lan Yang;Man Xu;Fang-hong Dong;Su-xian Zhang;Zhi-xin Song;Fang Wang(Nursing School,Hebei University,Baoding,Hebei 071002,China;ICU,Baoding First Central Hospital,Baoding,Hebei 071000,China;Lianmeng Community Health Service Center of Baoding City,Baoding,Hebei 071000,China)

机构地区：[1]河北大学护理学院,河北保定071002 [2]河北省保定市第一中心医院,河北保定071000 [3]河北省保定市联盟社区卫生服务中心,河北保定071000

出　　处：《中国现代医学杂志》2018年第19期75-79,共5页China Journal of Modern Medicine

基　　金：河北省卫计委重点课题(No:ZL20140162);河北大学校内课题(No:CX201710)

摘　　要：目的探索燕麦的饮食干预对社区2型糖尿病患者血糖、血脂、体重指数(BMI)的影响。方法社区200例2型糖尿病患者随机分为常规饮食组(n=100)和燕麦饮食组(n=100),干预期3个月,研究开始前,检测每组患者的BMI、血压、血糖、糖化血红蛋白(Hb A1c)及血脂水平,燕麦饮食组在常规饮食组常规糖尿病管理方法外,每天进食100 g燕麦代替部分主食,在食用燕麦后3个月检测上述指标,并分析其水平变化情况。结果与常规饮食组比较,燕麦饮食组血糖、Hb A1c、胆固醇、三酰甘油水平改善,差异有统计学意义(P<0.05),而BMI、血压差异无统计学意义(P>0.05)。结论社区2型糖尿病患者进行燕麦饮食干预可有效改善患者的病情,该模式可在社区推广。Objective To investigate the effect of oat meal on blood glucose,blood lipids and BMI of type 2 diabetic patients in community.Methods Totally 200 patients with type 2 diabetes mellitus were randomly assigned to a routine diet group(100 subjects)and an oat diet group(100 subjects).The intervention period was 3 months.In each group,BMI,blood pressure,blood glucose,glycosylated hemoglobin(HbA1c)and blood lipid levels were measured before the beginning of the study.In the oat diet group,the patients intook 100 g oats per day instead of part of the staple foods in addition to the conventional diabetes management methods in the routine diet group.The above indexes were detected 3 months after eating oats,and the changes of their levels were analyzed.Results In the oat diet group,there was significant improvement in blood glucose,HbA1c,cholesterol and triglyceride levels compared to the routine diet group(P<0.05);however,there was no significant difference in BMI or blood pressure between the two groups(P>0.05).Conclusions In a community,oat nutrition intervention can improve the condition of type 2 diabetic patients.This mode can be promoted in the community.

关 键 词：燕麦 2型糖尿病 社区 饮食干预 

分 类 号：R587.1[医药卫生—内分泌]