手掌法则在2型糖尿病患者饮食治疗中的作用

Effect of palm rule in diet therapy for type 2diabetes patients

目的研究2型糖尿病患者在饮食中应用手掌法则的效果。方法将临床确诊的2型糖尿病患者48例随机分为实验组和对照组,各24例。2组均进行常规糖尿病饮食培训3 d,实验组在常规饮食培训基础上进行手掌法则的饮食培训1 d,2组均在培训后进行糖尿病饮食实践6个月,观察患者实验前、6个月空腹血糖、糖化血红蛋白(Hb A1c)、体质量指数(BMI)、血脂的变化。采用自行设计的糖尿病饮食调查问卷表评价患者实验前和实验6个月后的饮食依从性。结果实验组6个月后患者的空腹血糖、糖化血红蛋白、BMI、血脂低于对照组,饮食依从性高于对照组(P<0.01)。结论手掌法则能提高2型糖尿病患者饮食的依从性,从而更好地控制患者血糖、体质量和血脂水平,值得临床推广。

Objective To study the effect of hand rule in diet of type 2 diabetes.Methods A total of 48 type 2 diabetes cases were randomly divided into experimental group and control group,with 24 cases per group.Both groups were given regular diabetes dietary training for 3 days,the experimental group was added palm rule dietary for one day.After training,both groups conducted a diabetic diet practice for six months.Fasting plasma glucose,HbA1c,body mass index and serum lipid were observed at beginning and after six months.Patients′diet compliance were assessed before trail and after six months of trail by self-designed diabetes diet questionnaire.Results Fasting plasma glucose,HbA1c,the body mass index and serum lipid after 6 months in the experimental group were lower,and the diet compliance was higher than that of the control group(P<0.01).Conclusion The palm rule could improve diet compliance in type 2 diabetes patients,and better control blood glucose,body weight and lipids.So it is worthy of clinical promotion.