健脾祛湿食疗方对糖尿病前期痰湿体质患者的影响

Effect of Jianpi Qushi Diet recipe on pre-diabetes patients with phlegm-dampness constitution

目的:探讨健脾祛湿食疗方对糖尿病前期痰湿体质患者的影响。方法:选取糖尿病前期且中医体质辨证为痰湿体质的中年患者共200例,随机分为对照组102例与试验组98例,其中两组予常规糖尿病健康教育,并根据每个患者的理想体质量计算每日应摄入的总热量,对照组酌情给予降压、降脂药物,试验组在对照组的基础上根据食物交换法,给予健脾祛湿食疗方替代部分食物。第6、12个月对比两组空腹血糖、餐后2 h血糖、糖化血红蛋白,随访时间为12个月。结果:对比干预前后两组在糖化血红蛋白上的差异均无统计学意义(P> 0.05);干预后两组在空腹血糖、餐后2 h血糖上,均显著低于干预前,且试验组下降程度显著优于对照组,差异具有统计学意义(P <0.05)。结论:对糖尿病前期的中年痰湿体质人群,可适当给予健脾祛湿食疗方进行干预,更加有利于控制血糖,以利于延缓糖尿病的疾病进程。

Objective: To explore the effect of Jianpi Qushi Diet recipe(健脾祛湿食疗方) on pre-diabetes patients with phlegmdampness constitution. Methods: A total of 200 middle-aged patients with pre-diabetes and phlegm-dampness constitution were selected and randomly divided into the control group(102 cases) and the experimental group(98 cases). Two groups were given routine diabetes health education, and the total daily calories should be calculated according to the ideal body weight of each patient. The control group was given hypotensive and lipid-lowering drugs appropriately, while the experimental group was given Jianpi Qushi Diet recipe to strengthen the spleen to take the place of food according to the food exchange method on the basis of the treatment of the control group. Fasting blood glucose, blood glucose 2 hours after meal, and hemoglobin a1 c were compared between the two groups at 6 and 12 months, and the follow-up time was 12 months. Results: There was no statistically significant difference in hba1 c between the two groups before and after intervention(P>0.05). After intervention, fasting blood glucose and 2 h postprandial blood glucose of the two groups were significantly lower than those before intervention, and the reduction degree of the experimental group was significantly better than that of the control group, which was with statistically significant differences(P<0.05). Conclusion: For middle-aged people with pre-diabetes with phlegmdampness constitution, proper intervention of Jianpi Qushi Diet recipe can be given, which is more conducive to the control of blood glucose and delay the progression of diabetes.