饮食护理干预对老年糖尿病患者血糖血脂和糖化血红.docVIP

饮食护理干预对老年糖尿病患者血糖、血脂和糖化血红 蛋白水平的影响研究 重庆市巴南区人民医院 李志勤 摘要 目的 探讨饮食干预对老年糖尿病患者血糖、血脂和糖化血红蛋白水平的影响。方法 将2011年1月至2012年6月来我院诊治的120名老年糖尿病患者随机分为两组：试验组和对照组，两组均采用降糖药和胰岛素治疗，试验组在对照组常规管理的基础上加强饮食干预。结果 试验组显效30例，有效21例，总有效率为85%，显著高于对照组的61.7%（p0.05）；试验组和对照组餐后2小时血糖、睡前血糖、空腹血糖、总胆固醇、甘油三酯和糖化血红蛋白均较治疗前显著改善，但试验组的改善效果显著优于对照组（p0.05）。结论饮食护理干预可以有效提高糖尿病患者常规治疗的血糖、血脂控制水平，值得临床推广应用。 关键词 饮食干预 糖尿病 血糖 糖化血红蛋白 中图分类号：R587.1 文献标识码：A Research of the effect of diet intervention on blood glucose, blood lipid and glycosylated hemoglobin level in elderly patients with diabetes Abstract Objective The experiment was to explore the influence of diet intervention on blood glucose, blood lipid and glycosylated hemoglobin level in elderly patients with diabetes. Methods One hundred and twenty patients diabetes hospitalized in our hospital from Jan 2011 to Jun 2012 were divided into the experiment group and the control group randomly. The control group was given routine nursing, while the experiment group was received the diet nursing intervention. These two groups were given the same antidabetic and insulin therapy. Results Thirty cases had marked effect and 21 cases were effective in the experiment group, total effective rate(85% ) in experiment group was significantly higher than that ( 61.7%) of control group ( p0.05). 2h post prandial plasma glucose, bedtime blood glucose, fasting blood glucose, total cholesterol, triglyceride and glycosylated hemoglobin levels of the two groups were improved significantly after the intervention and the improvement effect in experiment group was significantly higher than that of control group ( p0.05). Conclusion Diet intervention can work good with conventional therapy in control of blood glucose and blood lipid effectively, and it’s worth to generalization in clinical. Key words: diet intervention diabetes blood glucose glycosylated hemoglobin 糖尿病及其并发症严重危害人们身体健康。近年来，随着我国老龄化步伐的加快和人们生活方式的转变，我国糖尿病的发病率正在逐年上升。有研究表明良好的饮食控制可以降低糖尿病的发病机率，同时饮食控制不合理也是目前我国糖尿病患者血糖控制水平不理想的一个重要因素。而良好的血糖控