糖尿病住院患者“健康餐盘”饮食管理效果评价  

Effect evaluation of “healthy eating plate” based dietary management for diabetic inpatients

作　　者：余志英 干绿英 徐妮 王丁儿 王慧芬 李鹏[3] 方跃伟[4] YU Zhiying;GAN Lüying;XU Ni;WANG Dinger;WANG Huifen;LI Peng;FANG Yuewei(Physical Examination Center,Daishan First People's Hospital,Daishan,Zhejiang 316200,China)

机构地区：[1]岱山县第一人民医院体检中心,浙江岱山316200 [2]岱山县第一人民医院内科 [3]舟山市疾病预防控制中心食品安全科 [4]舟山市疾病预防控制中心健康教育科

出　　处：《预防医学》2021年第11期1105-1108,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划(2018PY076);浙江省岱山县科技计划公益类项目(201911)。

摘　　要：目的评价糖尿病住院患者"健康餐盘"的饮食管理干预效果。方法选择2019年11月―2020年11月在岱山县第一人民医院内科住院治疗的2型糖尿病(T2DM)患者为研究对象,随机分配到干预组和对照组。干预组实施"健康餐盘"的饮食管理,对照组实施常规饮食管理。采用问卷调查收集人口学信息和体格检查资料,分别于入院、出院和出院后3个月检测空腹血糖(FPG)、糖化血红蛋白(HbA1c)、三酰甘油(TG)和总胆固醇(TC)。采用协方差分析和广义估计方程模型比较2组患者出院时和出院后3个月的FPG、HbA1c、TG和TC水平。结果 T2DM患者干预组52例,年龄为(55.83±9.67)岁;其中男性29例,占55.77%;女性23例,占44.23%。对照组53例,年龄为(57.54±11.09)岁;其中男性32例,占60.38%;女性21例,占39.62%。出院时干预组和对照组患者FPG、HbA1c、TG和TC水平差异均无统计学意义(P>0.05)。出院后3个月,干预组HbA1c水平低于对照组(P<0.05);2组患者FPG、TG和TC水平差异均无统计学意义(P>0.05)。结论 "健康餐盘"饮食管理有助于糖尿病患者控制血糖,饮食行为在出院后得以延续;建议在糖尿病患者中推广应用"健康餐盘"。ObjectiveTo evaluate the effect of "healthy eating plate" based dietary management on diabetic inpatients.MethodsThe patients with type 2 diabetes mellitus( T2 DM) admitted to Daishan First People’s Hospital from No-vember 2019 to November 2020 were selected and randomly divided into two groups. The intervention group was given "healthy eating plate" based dietary management, while the control group was given routine dietary management. Demo-graphic data and physical examination results were collected. Fasting blood glucose( FPG), glycosylated hemoglobin( HbA1 c), triglyceride( TG) and total cholesterol( TC) were detected at admission, discharge and 3 months after dis-charge, and compared between the two groups by covariance and generalized estimating equation.ResultsThere were52 patients aged( 55.83±9.67) years in the intervention group, with 29( 55.77%) males and 23( 44.23%) females.There were 53 patients aged( 57.54 ± 11.09) years in the control group, with 32(60.38%) males and 21(39.62%)females. There were no significant differences in FPG, Hb A1 c, TG and TC levels between two groups at discharge( P>0.05). The level of HbA1 c in the intervention group was significantly lower than that in the control group at 3 monthsafter discharge( P<0.05);there were no significant differences in FPG, TG and TC levels( P>0.05).ConclusionThe "healthy eating plate" based dietary management can better control the blood glucose of diabetic patients, and can helpmaintain the dietary treatment. It is worthy of promotion in diabetic patients.

关 键 词：糖尿病 住院患者 健康餐盘 血糖控制 

分 类 号：R155.3[医药卫生—营养与食品卫生学]