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目的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,量化饮食与运动,将其应用于代谢综合征的临床治疗,评价其与常规饮食与运动相比在代谢综合征治疗中的效果。方法 115例患者随机分为两组:对照组54例,进行常规饮食治疗与运动;干预组61例,改良传统的食品交换法,结合食物血糖指数和血糖负荷并量化饮食与运动,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,指导代谢综合征患者饮食和运动治疗,疗效优于常规饮食和运动治疗。
Objective To improve the traditional food exchange method, combine the food glycemic index and the food blood sugar load, quantify the diet and exercise, and apply it to the clinical treatment of metabolic syndrome to evaluate its effect on the treatment of metabolic syndrome compared with the conventional diet and exercise . Methods One hundred and fifteen patients were randomly divided into two groups: control group (n = 54), regular diet therapy and exercise; intervention group (n = 61), improved traditional food exchange method, combined with food glycemic index and blood glucose load, quantified diet and exercise, Sports instruction; treatment period of 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 the treatment of CHO (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 The improved traditional food exchange method, combined with food glycemic index and food blood glucose load, and quantify diet and exercise, diet and exercise therapy in patients with metabolic syndrome, the effect is superior to conventional diet and exercise therapy.