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目的:了解饮食干预对男性Ⅱ型糖尿病血脂异常的影响,以提供更合理的营养治疗方法。方法:将2006年4月至2009年3月收住湖州市中心医院治疗的男性Ⅱ糖尿病血脂异常的患者160例,随机分成观察组和对照组各80例,观察组按患者的身高和体重等因素由营养师计算出各营养素并制定食谱进行称重饮食,同时对病人进行饮食指导,要求积极配合治疗。对照组自己饮食控制。比较两组患者膳食中热能和部分营养素的摄入情况以及治疗前后两组患者血糖和血脂的变化。结果:对照组热能、三大产热营养素及胆固醇的摄入明显较高,而膳食纤维的摄入量明显较低,而脂肪的摄入量明显较高,与观察组同项比较,差异均有统计学意义(P<0.01)。观察组在治疗后空腹血糖(FBG)、总胆固醇(TC)、三酰甘油(TG)及低密度脂蛋白(LDL)均有明显下降,而高密度脂蛋白(HDL)显著增高,差异具有统计学意义(P<0.01);对照组在治疗后FBG、TC、TG、LDL及HDL变化均无统计学意义(P>0.05)。结论:强化饮食干预可以降低男性Ⅱ型糖尿病患者血脂水平,对减少并发症的发生、发展都具有积极的意义。
Objective: To understand the effects of dietary intervention on dyslipidemia in type 2 diabetes in males to provide a more reasonable nutrition treatment. Methods: From April 2006 to March 2009, 160 male patients with diabetes mellitus (T2DM) who were admitted to Huzhou Central Hospital were randomly divided into observation group (80 cases) and control group (80 cases). The observation group was divided into two groups according to their height and weight Factors calculated by the nutritionist nutrients and the development of recipes for weight diet, while dietary guidance for patients, requiring active cooperation with the treatment. Control group own diet control. The intake of heat and some nutrients in the two groups were compared and the changes of blood glucose and blood lipid in two groups before and after treatment were compared. Results: In the control group, the intake of heat, three heat-producing nutrients and cholesterol were significantly higher, while the intake of dietary fiber was significantly lower, while the fat intake was significantly higher. Compared with the observation group, the differences were significant There was statistical significance (P <0.01). After treatment, the fasting blood glucose (FBG), total cholesterol (TC), triglyceride (TG) and low density lipoprotein (LDL) in the observation group were significantly decreased, while the high density lipoprotein (HDL) (P <0.01). There was no significant difference in FBG, TC, TG, LDL and HDL between the two groups after treatment (P> 0.05). Conclusion: Intensive diet intervention can reduce the level of blood lipid in type 2 diabetes mellitus patients, and has a positive effect on reducing the occurrence and development of complications.