饮食护理干预对糖尿病性胃轻瘫患者血糖达标及胃排空作用.docVIP

饮食护理干预对糖尿病性胃轻瘫患者血糖达标及胃排空作用 　　[摘要] 目的 探?饮食护理干预对糖尿病性胃轻瘫（DGP）患者血糖达标及胃排空的作用。 方法 选取2015年1～12月门诊就诊的DGP患者72例，随机分为干预组和对照组。两组患者均予以药物控制血糖及适量运动等基础治疗。对照组患者予以常规饮食调整，干预组加以饮食护理干预，两组均干预12周。观察并比较两组患者干预后血糖达标的情况及临床效果，并随访观察其半年和1年的复发率。 结果 干预12周后，干预组患者FBG、2hPG和HbA1C的达标率分别为94.44%、91.67%和86.11%，明显高于对照组的77.78%、72.22%和63.89%（P0.05），且干预组患者的临床总有效率为94.44%，明显高于对照组的75.00%（χ2=5.21，P0.05）。干预后随访观察半年和1年，观察组患者的复发率分别为8.33%和19.44%，均明显低于对照组的27.78%和41.67%（χ2=4.60、4.19，P0.05）。结论 饮食护理干预用于DGP患者的近期疗效确切，有利于血糖及糖化血红蛋白的达标，促进胃排空，改善其临床症状，且其远期疗效亦较确切，能明显降低其复发率，具有减少或预防其复发的作用。 　　[关键词] 胃轻瘫；糖尿病；饮食护理干预；血糖达标；胃排空 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）35-0148-04 　　[Abstract] Objective To investigate the effect of dietary nursing intervention on blood glucose targeting and gastric emptying in the patients with diabetic gastroparesis（DGP）. Methods A total of 70 patients with DGP who were diagnosed in the outpatient clinic from January to December 2015 were selected and randomly divided into the intervention group and the control group. The two groups of patients were given medication for the control of blood glucose and appropriate exercises and other basic treatment. The control group was given routine diet adjustment. The intervention group was given dietary nursing intervention on the basis of the control group. Both groups were given the intervention for 12 weeks. The blood glucose targeting and clinical effects after the intervention were observed and compared between the two groups， and the six-month and one-year recurrence rate was observed in the follow-up visits. Results After 12 weeks of intervention， the compliance rates of FBG， 2hPG and HbA1C were 94.44%， 91.67% and 86.11% respectively in the intervention group， which were significantly higher than those of 77.78%， 72.22% and 63.89% respectively in the control group（P 　　[Key words] Gastroparesis（DGP）； Diabetes mellitus； Dietary nursing intervention； Blood glucose targeting； Gastric emptying 　　糖尿病胃轻瘫（DGP）是糖尿病常见的慢性并发症之一，其发病率约35%～55%，主要表现为胃动力障碍和胃排空延迟