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350例2型糖尿病患者随机分为两组:对照组165例,进行常规饮食治疗与运动;干预组185例,改良传统的食品交换法,结合食物血糖指数和血糖负荷,进行饮食与运动指导;治疗期为6个月。第6个月底进行复查,观察治疗前后干预组与对照组之间的疗效差别。结果干预组治疗后FPG,A1C,CHO,TG,HDL-C,SBP,DBP,WC,BW(P均<0.01),差异有高度统计意义;对照组治疗后FPG,A1C,TG,SBP,DBP,WC,BW(P<0.01),差异有高度统计意义;CHO治疗后(P<0.05),差异有统计意义,HDL-C治疗后P=0.41,差异无统计意义。治疗后干预组与对照组FPG,A1C,CHO,TG,HDL-C,SBP,DBP,BW(P均<0.01),差异有高度统计意义,WC(P<0.05),差异有统计意义。结论改良传统的食品交换法,结合食物血糖指数和食物血糖负荷,并量化饮食与运动,指导糖尿病患者饮食和运动治疗,疗效优于常规饮食和运动治疗。
350 cases of type 2 diabetes were randomly divided into two groups: control group of 165 cases, routine diet therapy and exercise; intervention group of 185 cases, improved traditional food exchange method, combined with food glycemic index and glycemic load, diet and exercise guidance; The treatment period is 6 months. At the end of the 6th month, a review was conducted to observe the difference in efficacy between the intervention group and the control group before and after treatment. Results The levels of FPG, A1C, TG, HDL-C, SBP, DBP, WC, BW in the intervention group were all significantly higher than those in the control group , WC, BW (P <0.01), the difference was highly statistically significant; after CHO treatment (P <0.05), the difference was statistically significant, P = 0.41 after HDL-C treatment, the difference was not statistically significant. After treatment, the levels of FPG, A1C, CHO, TG, HDL-C, SBP, DBP and BW in the intervention group and the control group were all statistically significant (P <0.05). Conclusion Improved traditional food exchange method, combined with food glycemic index and food blood glucose load, and to quantify diet and exercise, to guide the diet and exercise of diabetic patients, the effect is superior to conventional diet and exercise therapy.