饮食治疗代谢综合征的效果观察

Dietetic treatment for metabolic syndrome

目的:探讨饮食与代谢综合征的关系.方法:62例住院代谢综合征患者随机分为对照组和饮食治疗组,对照组为单纯药物治疗,饮食治疗组给予药物和低胆固醇、低热能、高维生素、高膳食纤维的平衡膳食,治疗3 mo观察患者饮食治疗前后体质量、血压、血糖、血脂的变化.结果:治疗3 mo后,饮食治疗组患者的平均体质量有明显下降(P<0.05),血压正常者22例(70.9%),空腹血糖治疗前后分别为(11.7±2.3)mmol/L和(7.3±1.0)mmol/L,治疗前后总胆固醇分别为(7.0±1.0)mmol/L和(4.2±0.9)mmol/L(P<0.01).结论:饮食与代谢综合征有密切关系.低热能、低脂、高维生素、高膳食纤维的平衡膳食可协助药物治疗,有益于降低体质量、血糖和血脂.

AIM： To investigate the relationship between diet and metabolic syndrome （ MS ）. METHODS ： Sixty-two inpatients in our hospital were randomly divided into 2 groups： Patients in control group were simply treated with drugs and no diet control and patients in dietetic treatment group were given balance diets with low cholesterol, high vitamins and high fiber food. The body weight, blood pressure, blood lipoprotein and blood sugar were detected before and after the treatment. RESULTS： In treatment group, the average hody weight decreased markedly after 3 months＇ diet treatment （ P 〈 0.05 ） , 22 （70.9%） patients had normal blood pressure. The serum glucose blood sugar was （7.3 ± 1.0） mmoL/L （ after the treatment） as compared with （ 11.7 ± 2.3 ） mmoL/L （ before the treatment ） and total cholesterol was （4.2 ±0.9） mmol/L （after the treatment） as compared with （7.0 ± 1.0） mmoL/L （ before the treatment） , with significant difference （P 〈0.01 ）. CONCLUSION： Diet and MS are closely related and balanced diets with low cholesterol, high vitamins and high fiber food can enhance the effect of the drugs and decrease the body weight, the blood lipoprotein and blood sugar.