个体化医学营养治疗对2型糖尿病患者血糖及血脂的影响
Effect of Individualized Medical Nutrition on Blood Glucose and Blood Lip-id in Patients with Type 2 Diabetes
滑丽美 1胡丽叶 2苑雪娇 3雷敏 4王雅兰1
作者信息
- 1. 050082 石家庄,解放军联勤保障部队第九八〇医院营养科
- 2. 050082 石家庄,解放军联勤保障部队第九八〇医院内分泌科
- 3. 050005 石家庄,河北医科大学第二医院全科医学科
- 4. 050051 石家庄,河北医科大学第三医院营养科
- 折叠
摘要
目的 探讨个体化医学营养治疗对2 型糖尿病(T2DM)患者血糖及血脂的影响.方法 选取 2022 年1-8 月诊治的T2DM 86 例为研究对象,按治疗方法分为研究组和对照组,每组43 例.对照组采取常规饮食指导,研究组采取个体化医学营养治疗,观察并比较2 组干预前后的血糖、血脂、营养状况以及干预总有效率.结果 干预后,研究组空腹血糖、餐后2h血糖、糖化血红蛋白水平及营养不良-炎症评分量表评分均低于干预前和对照组(P＜0.05).干预后,研究组三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平均低于干预前,且 TG、LDL-C水平低于对照组(P＜0.05);TC、高密度脂蛋白胆固醇水平与对照组比较差异无统计学意义(P＞0.05).研究组干预总有效率为90.70%(39/43)高于对照组的69.77%(30/43)(P＜0.05).结论 个体化医学营养治疗对降低T2DM患者血糖、血脂水平具有重要作用,可提高T2DM的治疗总有效率.
Abstract
Objective To investigate the effect of individualized medical nutrition on blood glucose and blood lipid in patients with type 2 diabetes mellitus(T2DM).Methods A total of 86 T2DM patients diagnosed and treated from January 2022 to August 2022 were selected as the research subjects and divided into research group(n =43)and control group(n = 43)according to treatment methods.The control group was given routine dietary guidance,and the research group was given individualized medical nutrition therapy.The blood glucose,blood lipids,and nutritional status before and after intervention and the total effective rate after intervention were observed and compared in the two groups.Results After intervention,fast-ing blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels and scores of dystrophy-inflammation scale in the research group were lower than those before intervention and in the control group(P＜0.05).After intervention,the levels of triglyceride(TG),total cholesterol(TC)and low density lipoprotein cholesterol(LDL-C)in the study group were lower than those before intervention,and the levels of TG and LDL-C were lower than those in the control group(P＜0.05).There was no significant difference in TC and HDL cholesterol levels between the research group and the control group(P＞0.05).After intervention,the total effective rate of the research group was90.70%(39/43),which was higher than that of the control group[69.77%(30/43)](P＜0.05).Conclusion Conclusion Individualized medical nutrition therapy plays an important role in reducing blood glucose and lipid levels of T2DM patients,and can improve the total effective rate of T2DM treatment.
关键词
糖尿病,2型/医学营养治疗/血糖/三酰甘油/总胆固醇/低密度脂蛋白胆固醇/高密度脂蛋白胆固醇/营养状况Key words
Diabetes mellitus,type 2/Medical nutrition therapy/Blood glucose/Triacylglycerol/Total cholesterol/Low density lipoprotein cholesterol/High density lipoprotein cholesterol/Nutritional status引用本文复制引用
基金项目
河北省卫健委医学重点课题(20200827)
出版年
2023
国家科技期刊平台
NSTL
万方数据