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吕春健,尹士男,孙艳.糖尿病患者营养治疗状况分析[J].中国康复医学杂志,2006,21(6):517~519
糖尿病患者营养治疗状况分析    点此下载全文
吕春健  尹士男  孙艳
[1]解放军总医院第一附属医院营养科,北京100037 [2]解放军总医院第一附属医院内分泌科,北京100037
基金项目:
DOI:
摘要点击次数: 2002
全文下载次数: 3235
摘要:
      目的:考察糖尿病患者的营养治疗状况,并分析其对患者血糖、血脂的影响.方法:选择本院糖尿病患者138例,按入院先后顺序随机分为2组.实验组饮食由医生根据患者情况提供个体化膳食,对照组则自行控制饮食.分别检测分析各组营养素摄入情况及治疗前后血糖和血脂的变化.结果:实验组能量、蛋白质、脂肪、碳水化合物、钙、铁、维生素A、维生素B和维生素C的实际摄入量均能基本达到推荐需要量的水平;对照组能量、蛋白质及碳水化合物的实际摄入量低于推荐需要量的80%,多种维生素和矿物质的实际摄入量低于推荐需要量的50%,脂肪的实际摄入量则高出推荐需要量的20%.多数自行控制饮食患者膳食结构不合理,蛋白质比例偏低,脂肪偏高;动物类蛋白质偏高,豆类偏低.实验组空腹血糖、餐后2h血糖在治疗1周、3周后均有下降(P<0.01),对照组在治疗3周后下降(P<0.01).治疗前后2组血脂差异无显著性意义(P>0.05).结论:目前糖尿病的营养治疗需要针对个体情况强化指导,住院患者应严格食用合理营养配餐才能确保综合治疗的理想效果.
关键词:糖尿病 营养治疗 血糖 血脂
Nutritional therapeutical status of diabetic patients    Download Fulltext
LU Chunjian,YIN Shinan,SUN Yan Dept. of Dietetics,the First Affiliated Hospital,General Hospital of PLA,Beijing,100037
Dept. of Dietetics,the First Affiliated Hospital,General Hospital of PLA,Beijing, 100037
Fund Project:
Abstract:
      Objective:To study the nutritional therapeutical status of hospitalized diabetic patients and its effects on blood glucose and lipid.Method:According to the admission time,138 hospitalized subjects with diabetes were randomly allocated into two groups.The experimental group were provided with weighed individual diabetic food and the control group went on diet dominated by themselves.Various nutritions and the changes of blood glucose and lipid were observed and assessed.Result:The nutritions(calories,protein,fat,carbohydrate,calcium,iron,Vitamin A,B,and C) that the experimental group actually took were close to the level recommended.The calorie,protein and carbohydrate that control group actually took were lower than 80% of the recommended,and minerals and vitamins did not reach to 50% of the recommendation. The fat content was 120% of the recommended. More fat and less protein were taken by the control group. The protein were mostly obtained from meat instead of beans. Calories offered by diets were out of balance. The fasting blood glucose(FBG) and 2h postprandial blood glucose(2h PBG) in experimental group were significantly decreased after one week and three week treatment(P<0.01),but those in the control group only decreased after three week treatment(P<0.01). Blood lipid in both groups had no significance after treatment(P>0.05).Conclusion:Individual diabetic nutritional therapy and instructions were needed. Hospitalized diabetic patients should comply with the application of nutritional diet for better curative effects.
Keywords:diabetes  nutrition therapy  blood glucose  blood lipid
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