强化体质量管理对2型糖尿病合并肥胖患者的干预价值评价  

Evaluation of the Intervention Value of Strengthening Body Weight Management in Obese Patients with Type 2 Diabetes

作　　者：谢小红[1] 朱常青[1] 邓爱平 汪慧芬[1] 李婉媚[1] XIE Xiaohong;ZHU Changqing;DENG Aiping;WANG Huifen;LI Wanmei(Guangzhou Twelfth People's Hospital,Guangzhou,Guangdong Province,510620 China)

机构地区：[1]广州市第十二人民医院,广东广州510620

出　　处：《糖尿病新世界》2021年第22期23-27,共5页Diabetes New World Magazine

基　　金：2021年广州护理学会科研课题(B2021094)。

摘　　要：目的评价强化体质量管理对2型糖尿病合并肥胖患者的干预价值。方法选取2019年3月—2021年3月在某三级综合医院内分泌科治疗的糖尿病合并肥胖患者90例为研究对象,按照治疗的先后顺序分为干预组和对照组,每组45例。在糖尿病综合治疗的基础上,干预组实施强化体质量管理模式(3个月减重期+1个月过渡期),对照组常规糖尿病饮食。比较两组患者干预前后体质量、体质指数(BMI)、空腹血糖、糖化血红蛋白(HbAlc)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、三酰甘油(TG)水平以及组间差异。结果两组患者干预后的体质量、BMI、HbAlc、TC、LDL-C、HDL-C比较,差异有统计学意义(t=-2.748、-4.353、-5.372、-4.739、-4.649、2.215,P<0.05)。干预组经过强化体质量6个月后整体HbAlc水平由(8.15±0.68)%降至(6.66±0.49)%,干预后体质量和BMI低于对照组,差异有统计学意义(P<0.05)。结论针对2型糖尿病合并肥胖患者给予量化饮食等强化体质量管理有助于提高患者的自我管理效能,内分泌科医师、健康管理师及时并积极介入,确保患者科学管理体质量以及保持血糖的稳定,改善2型糖尿病患者预后。Objective To evaluate the intervention value of strengthening and strengthening weight management in obese patients with type 2 diabetes. Methods Ninety patients with diabetes and obesity who were treated in the endocrinology department of a tertiary general hospital from March 2019 to March 2021 were selected as the research objects. According to the order of treatment, they were divided into intervention group and control group, with 45 cases in each group. On the basis of comprehensive diabetes treatment, the intervention group implemented an intensive weight management model(3 months weight loss period + 1 month transition period), and the control group had a regular diabetic diet. The weight,body mass index(BMI), fasting blood glucose, glycosylated hemoglobin(HbA1 c), total cholesterol(TC), low-density lipoprotein cholesterol(LDL-C), high-density lipoprotein cholesterol(HDL-C), triglyceride levels(TG) and differences between the two groups were compared before and after intervention. Results There were statistically significant differences in body weight,BMI, HbAlc, TC, LDL-C and HDL-C between the two groups after intervention(t=-2.748,-4.353,-5.372,-4.739,-4.649,2.215, P< 0.05). After 6 months of body weight enhancement, the overall HbAlc level of the intervention group decreased from(8.15±0.68)% to(6.66±0.49)%, and the body weight and BMI of the intervention group were lower than those of the control group, the difference was statistically significant(P<0.05). Conclusion For patients with type 2 diabetes and obesity,quantified diet and other intensive weight management can help improve the self-management efficiency of patients.En docrinologists and health managers will promptly and actively intervene to ensure the scientific management of weightand the stability of blood glucose for patients to improve 2 The prognosis of patients with type diabetes.

关 键 词：强化体质量管理 2型糖尿病合并肥胖 量化食谱 

分 类 号：R59[医药卫生—内科学]