饮食运动口诀对代谢综合征患者的影响

Effect of pithy formula of diet and exercise on patients with metabolic syndrome

目的：探讨饮食运动口诀对代谢综合征患者的影响。方法选取2010年3月—2014年3月某院收治的代谢综合征患者240例，采用随机数字表法分为口诀组和对照组，每组120例。对照组患者采用常规的代谢综合征饮食运动教育，口诀组患者采用饮食运动口诀、运动操培训、食物模型相结合，进行互动式教育。比较两组患者干预前和干预后6个月空腹血糖、餐后2h血糖、糖化血红蛋白、游离脂肪酸、三酰甘油、患者饮食运动知识评分与生活方式干预依从性评分。结果与干预前相比，两组患者干预后6个月空腹血糖、餐后2h血糖、糖化血红蛋白、游离脂肪酸、三酰甘油均降低，但口诀组降低更明显，差异具有统计意义（P＜0．05）；干预前，两组患者的饮食运动知识评分和干预依从性评分差异无统计学意义（P＞0．05）。口诀组患者干预后6个月糖代谢综合征饮食运动知识评分与生活方式干预依从性评分分别为（86．5±9．7），（26．6±5．2）分，较干预前的（67．2±9．2），（24．6±5．1）分明显升高，差异有统计学意义（t值分别为15．814，3．008；P＜0．01）；且明显高于对照组干预后的（79．4±8．5），（24．9±5．0）分，差异有统计学意义（t值分别为6．030，2．581；P＜0．01）。结论饮食运动口诀对代谢综合征患者有着积极的影响，有效地改善了患者的病情，并提高了患者饮食运动的依从性。

Objective To explore the influence of pithy formula of diet and exercise on patients with metabolic syndrome.Methods A total of 240 patients with metabolic syndrome from March 2010 to March 2014 were randomly divided into pithy formula group （n=120） and control group （n=120）.Patients in the control group were given conventional education of diet and exercise of metabolic syndrome,while patients in the pithy formula group were given pithy formula of diet and exercise, exercise training and food model and doing interactive education.Before and after the intervention, fasting blood glucose, 2 hours postprandial blood glucose, glycated hemoglobin, free fatty acid, triglyceride, diet and exercise score, life mode intervention compliance score of two groups in sixth month were observed and compared.Results Compared with patients before intervention, fasting blood glucose, 2 hours postprandial blood glucose, glycated hemoglobin, free fatty acid, triglyceride of patients in the two groups were reduced 6 months after intervention, while the degree of reduce was statistically in pithy formula group （P〈0.05）.No significant difference was found in the scores of diet and exercise, life mode intervention compliance between two groups （ P 〉0.05 ）.Six months after intervention, diet and exercise scores of metabolic syndrome （ 86.5 ±9.7 vs 67.2 ±9.2 ） , intervention compliance scores of mode of life （ 26.6 ±5.2 vs 24.6 ±5.1 ） of patients in pithy formula group were significantly increased than that before the intervention and control group [（86.5 ±9.7 vs 79.4 ±8.5）, （26.6 ±5.2 vs 24.9 ±5.0）]（t=15.814,3.008,6.030,2.581,respectively;P〈0.01）.Conclusions Pithy formula of diet and exercise has positive influence on patients with metabolic syndrome which can improve the patients’ condition and compliance with diet and exercise.