个体化饮食处方在糖尿病合并肺结核患者中的应用  

Application of individualized prescription diet in pulmonary tuberculosis patients with diabetes

作　　者：谭彩萍[1] 李娟[1] 方育霞[1] 胡雪丹[1] 赖冬梅 周慧敏[1] 侯芳 张芝辉[1] TAN Cai-ping;LI Juan;FANG Yu-xia;HU Xue-dan;LAI Dong-mei;ZHOU Hui-min;HOU Fang;ZHANG Zhi-hui(Department of Cardiology,Jiangxi Provincial Chest Hospital,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省胸科医院心内科,江西南昌330006

出　　处：《中国当代医药》2021年第24期45-47,51,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20195608)。

摘　　要：目的探讨个体化饮食处方在糖尿病合并肺结核患者中的应用。方法选取2019年2—12月于江西省胸科医院内四科收治的80例初治肺结核合并2型糖尿病患者作为研究对象,按照随机数字表法将其分为对照组(n=40)与试验组(n=40)。对照组患者采用常规饮食指导,试验组采用个体化饮食处方,两组患者均在出院后进行电话随访,共随访3个月。比较两组患者入院前及出院3个月后全血空腹血糖(FBG)、餐后2 h血糖(2 h PG)及糖化血红蛋白(HbA1c)水平、临床症状及影像指标。结果试验组患者出院3个月后全血FBG、2 h PG、HbA1c水平及咳嗽、咳痰临床症状评分均低于对照组,差异有统计学意义(P<0.05);出院3个月后,试验组病灶闭合率高于对照组,无变化率低于对照组,差异有统计学意义(P<0.05)。结论个体化饮食处方较常规饮食指导对糖尿病合并肺结核患者血糖水平控制效果更好,且能使抗结核药物药效发挥正常,控制结核病病情发展,并可进一步深度挖掘,探寻个体化饮食处方对于糖尿病合并肺结核患者深层意义,挖掘潜力较大。Objective To investigate the application of individualized prescription diet in pulmonary tuberculosis patients with diabetes.Methods A total of 80 cases of newly treated pulmonary tuberculosis patients with type 2 diabetes who were admitted to the four departments of Jiangxi Chest Hospital from February 2019 to December 2019 were selected as the research objects,according to the random number table method,they were divided into the control group(n=40)and the experimental group(n=40).The control group was guided by regular diet,experimental group received individualized diet prescription,all patients were followed up by telephone after discharge were followed up for 3 months..The two groups of patients were compared with whole blood fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)levels,clinical symptoms and imaging indicators before admission and 3 months after discharge.Results The levels of whole blood FBG,2 h PG,HbA1c and the clinical symptom scores of cough and sputum in the treatment group were lower than those in the control group 3 months after discharge,the differences were statistically significant(P<0.05).The lesion closure rate in the experimental group was higher than that in the control group 3 months after discharge,no change rate was lower than the control group,the differences were statistically significant(P<0.05).Conclusion Individualized dietary prescriptions are better than conventional dietary guidance in controlling blood glucose levels in patients with diabetes and tuberculosis,and the efficacy of anti-TB drugs can play a normal,control the development of tuberculosis.

关 键 词：糖尿病 肺结核 个体化饮食处方 空腹血糖 餐后2小时血糖 糖化血红蛋白 

分 类 号：R587[医药卫生—内分泌]