摘要
目的 了解院外 2型糖尿病患者的热能摄入情况 ,并与需求量相比较。方法 将 16 1例门诊复诊 2型糖尿病患者的热能摄入按年龄分为 <4 5岁、 4 6岁～ 6 5岁、 >6 6岁 3组 ,统计达到需求量 95 %～ 10 5 %、超过需求量 10 5 %、低于需求量 95 %的人数比例和单项热能摄入占需求量的百分比 ,并进行组间的比较。结果 总热能、碳水化合物、蛋白质、脂肪四项热能指标无 1例同时达到需求量 95 %～ 10 5 % ;3年龄组脂肪均超过需求量。超量幅度随年龄增大而下降 (P <0 0 1) ;碳水化物在 6 6岁前以超需求量为主 ,但有部分患者摄入过少。至 6 6岁以后大部分低于需求量 (P <0 0 1) ;蛋白质、总热能均随年龄增长而显著下降 (P <0 0 1)。结论 多数 2型糖尿病患者尚未掌握正确控制热能摄入的知识和方法。其中 ,4 5岁前处于随意状态。 4 6岁后部分采取了限制主食、动物性食品 。
Objectivee Considering the heat energy absorption of outside 2 type diabetic ,and compared with demand.Methods 161 out-patient services of 2 type diabetic is divided into under 45 years old,46～64 years old,66 years old ,Statistic the percent of person on attaining demand 95%～105%,over demand 105%,lower than demand 95% number comparison with single-item thermal energy taking occupying demand, and compared with the groups.Results (1)The four heat energy index about general heat energy ,carbohydrate ,protein,fat has no 1 the example attains demand 95%～105% at the same time;(2)3 groups are all over the demand.It is super to measures the range enlarges with the age but descend(P<0.01);(3)The carbon water turn the thing to regard super demand as principle before 66 years old,but have parts of sufferers took little.To 66 years old hereafter big and part of lower than demands(P<0.01);(4)The protein,total thermal energy all increases with the age but obvious descent(P<0.01).Conclusion Most 2 type diabetics not yet control the knowledge that right control thermal energy take with the method.Among them,45 years old is placed in the free appearance before.46 years old empress,may adopt the restrict staple food,animality food,loosen the strategy that plant oil take.
