摘要
目的研究糖尿病患者饮食自我管理、慢性并发症发生及控制达标情况。方法通过问卷调查、查阅病历和电子临床检验系统等方法对住院的糖尿病患者进行饮食调查和控制情况进行评价。结果被调查的2 641例糖尿病患者中男性1 460例,女性1 181例,患者年龄(53.42±12.89)岁。有家族史者占患者总数的34.46%。饮食中烹调油摄入偏多者占总体的75.70%,其他食物如禽畜类和谷薯类摄入量偏多者分别占总体的30.81%,33.61%,奶及奶制品摄入量偏少者占患者总体的66.19%。糖尿病患者入院时空腹血糖、餐后2h血糖、糖化血红蛋白、甘油三酯、总胆固醇和低密度脂蛋白等指标达标情况较差,控制不良者分别占患者总数的73.97%、94.86%、72.17%、38.25%、23.13%、19.55%。结论糖尿病患者饮食存在产能营养素摄入偏多和营养素摄入不均衡等问题,入院时糖尿病相关指标,如空腹血糖、餐后2h血糖、糖化血红蛋白等控制情况与理想状态存在较大差距,控制情况不容乐观。
Objective To investigate the status of self-management and standardized control on diet and the occurrence of chronic complications among hospitalized diabetics. Methods Diabetes patients hospitalized in First Affiliated Hospital of Harbin Medical University were enrolled in the study based on their consent. Questionnaire survey, medical records and electronic data on clinic detection were used for collecting relevant information on their diet status and control. Results Totally 2 641 diabetics（ 1 460 males and 1 181 females） were recruited and the average age of the participants was 53.42 ±12. 89 years. Of the participants,34.46% reported familial history of diabetes;75.70% ,30. 81% ,and 33.61% reported excessive intake of cooking oil, meat, and cereals;and 66. 19% reported deficit intake of milk and dairy products. The proportions of the participants without standardized control were 73.97% for fasting glucose,94. 86% for postprandial blood glucose,72. 17% for glycosylated hemoglobin,38.25% for triglycerides,23.13% for total cholesterol, and 19. 55% for low-density lipoprotein,respectively. Conclusion Excessive intakes of caloric and unbalanced nutrients were common among diabetic inpatients and there are wide gaps between the actual control situation and the ideal state in the indicators like fasting blood glucose ,postprandial blood glucose, and glycosylated hemoglobin, suggesting diet control needs to be promoted among diabetes patients.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第10期1321-1323,共3页
Chinese Journal of Public Health
关键词
糖尿病
达标
糖尿病教育
饮食
diabetes
up to standard
health education on diabetes
diet
