高抗性淀粉大米对2型糖尿病患者血糖的影响研究  

Effects of high resistant starch rice on blood glucose of type 2 diabetes patients

作　　者：郑洁 曾小庆[1] 宋德明 王静 刘懿萱 柳园[1] ZHENG Jie;ZENG Xiaoqing;SONG Deming;WANG Jing;LIU Yixuan;LIU Yuan(Department of Clinical Nutrition,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China;Shuzhou Rice Research Institute,Chongzhou,Sichuan 610000,China;Huayang Community Health Service Center of Tianfu New District,Chengdu,Sichuan 610000,China)

机构地区：[1]四川大学华西医院临床营养科,成都610041 [2]四川省崇州市蜀州水稻研究所,610000 [3]四川省成都市天府新区华阳社区卫生服务中心,610000

出　　处：《重庆医学》2020年第18期3033-3036,共4页Chongqing medicine

基　　金：四川省软科学研究项目(2017ZR0241);成都市科技项目(2018-YF05-01196-SN)。

摘　　要：目的研究高抗性淀粉大米对2型糖尿病(T2DM)患者血糖的影响。方法选取四川省成都市华阳街道社区T2DM患者55例,分为试验组(29例)和对照组(26例),行饮食指导后分别发放高抗性淀粉大米和普通大米,干预3个月后观察高抗性淀粉大米和普通大米对T2DM患者血糖的控制效果。结果试验组高抗性淀粉大米感官评价不如对照组普通大米好,组间差异有统计学意义(P<0.05)。干预3个月后,试验组和对照组患者空腹血糖、空腹胰岛素、糖化血红蛋白及其他生长指标比较差异无统计学意义(P>0.05),但是试验组空腹血糖比试验前降低0.20 mmol/L,对照组空腹血糖比试验前升高0.16 mmol/L;两组糖化血红蛋白均比试验前下降,其中试验组下降绝对值为0.42%,对照组下降绝对值为0.26%。结论高抗性淀粉大米有降低T2DM患者的血糖和糖化血红蛋白的趋势,在一定程度上可改善T2DM患者血糖。Objective To analyse the effects of high resistant starch rice on blood glucose of type 2 diabetes mellitus(T2DM)patients.Methods Fifty-five patients with T2DM in the community of Huayang Street,Chengdu City,Sichuan Province were divided into the experimental group(29 cases)and the control group(26 cases),after diet counseling,low-glycemic index rice and ordinary rice were distributed,respectively.After 3 months of intervention,the effects of high resistant starch rice and ordinary rice on blood glucose control in T2DM patients were compared.Results The sensory evaluation of high resistant starch rice in the experimental group was not as good as normal rice in the experimental group,and the difference was statistically significant(P<0.05).After 3 months of intervention,there was no significant difference in fasting blood glucose,fasting insulin,glycosylated hemoglobin and other biochemical indicators between the experimental group and the control group(P>0.05),but the fasting blood glucose of the experimental group was decreased by 0.20 mmol/L than before intervention,and the control group increased by 0.16 mmol/L.The glycated hemoglobin of the two groups were decreased than that before intervention,and the decreased absolute value were 0.42%of the experimental group and 0.26%of the control group.Conclusion High resistant starch rice has a tendency to reduce fasting blood glucose and glycated hemoglobin in T2DM patients,and to a certain extent can improve blood glucose of T2DM patients.

关 键 词：高抗性淀粉大米 糖尿病 2型 血糖 胰岛素 血红蛋白A 糖基化 

分 类 号：R151.41[医药卫生—营养与食品卫生学]