饮食控制结合运动疗法在糖尿病胰岛素强化治疗中的应用  

Application of diet control combined with exercise in intensive insulin therapy for diabetes mellitus

作　　者：王文婷 傅江英 陈亚梅 WANG Wenting;FU Jiangying;CHEN Yamei(Department of Endocrinology,Yiwu Central Hospital,Yiwu 322000,China;Department of Emergency,Yiwu Central Hospital,Yiwu 322000,China)

机构地区：[1]义乌市中心医院内分泌科,浙江义乌322000 [2]义乌市中心医院急诊科,浙江义乌322000

出　　处：《健康研究》2020年第6期627-630,共4页Health Research

基　　金：义乌市科技计划项目(18-3-82)。

摘　　要：目的探讨饮食控制结合运动疗法对糖尿病胰岛素强化治疗患者的效果。方法126例胰岛素强化治疗的糖尿病患者随机分为观察组和对照组各63例,分别接受传统的饮食和运动指导及个体化饮食控制结合运动疗法护理。比较2组干预前和干预后3个月的空腹血糖(FBG)、2小时血糖(2hBG)、糖化血红蛋白(HbA1c)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C),统计2组干预期间血糖达标时间、日均胰岛素用量。结果干预3个月后,2组患者的血糖和血脂相关指标明显改善,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组血糖达标时间、日均胰岛素用量均少于对照组,差异均有统计学意义(P<0.05)。结论个体化饮食控制结合运动疗法配合胰岛素强化治疗,有利于改善糖尿病患者血糖、血脂水平,缩短治疗周期。Objective To explore the effect of diet control combined with exercise in intensive insulin therapy(IIT)for diabetes mellitus(DM).Methods A total of 126 DM patients who underwent IIT were randomly divided into the observation group and the control group,63 cases in each group.Patients in the control group were treated with traditional diet and exercise guidance and patients in the observation group were treated with individualized diet control combined with exercise therapy.The fasting blood glucose(FBG),2-hour blood glucose(2hBG),glycosylated hemoglobin(HbA1c),total cholesterol(TC),triacylglycerol(TG),high-density lipoprotein cholesterol(HDL-C)and low-density lipoprotein cholesterol(LDL-C)before the intervention and after three months of intervention were compared between the two groups.The qualification time for blood glucose and daily insulin dosage during the intervention in both groups were statistically calculated.Results After three months of intervention,blood glucose-related and blood lipid-related indexes in both groups were significantly improved,which were better in the observation group than the control group(P<0.05).The qualification time of blood glucose and daily insulin dosage in the observation group were lower than those in the control group(P<0.05).Conclusions The application of individualized diet control combined with exercise therapy in IIT can improve the management of blood glucose and blood lipid and shorten the therapy course.

关 键 词：糖尿病 胰岛素强化治疗 饮食控制 个体化 运动疗法 

分 类 号：R587.1[医药卫生—内分泌]