作者：李晓华,叶艳彬,任哲,沈亚诚,关向东
【摘要】 目的 对自行开发的糖尿病食品交换份法饮食软件的临床应用效果进行评价。方法 选择80例2型糖尿病患者，在药物治疗方案不变的情况下，加用饮食软件对患者进行饮食治疗及管理12周；采用自身前后对照的实验方法，观察饮食治疗前后的效果。结果 比较饮食治疗前后12周患者的FBG（空腹血浆葡萄糖）、2hPBG（餐后2 h血浆葡萄糖）、TG（总胆固醇）、BMI（体重指数）、HbA1c（糖化血红蛋白）有明显下降，差异有显著性（P<0.05～0.01）。结论 糖尿病食品交换份法饮食软件辅助治疗糖尿病对患者的血糖、血脂和体重指数等代谢指标有良好的改善作用，该软件使用方便，值得进一步推广应用。
【关键词】 糖尿病；饮食软件；食品交换份法
Food exchange portion dietary software of diabetes on the clinical application
Abstract:Objective To observe the effect of selfdeveloped food exchange portion dietary software of diabetes in the clinical application. Methods Eighty patients with type 2 diabetes (T2DM) were recruited. Under the condition that the therapeutic methods were the same as those before the experiment, dietary treatment was given to the patients for 12 weeks and the dietary software was used in the management during the experiment. The effects before and after dietary treatment were compared with retrospective selfreporting method. Results There were significant decreases of FBG, 2h PBG, TG, BMI, HbA1c after 12week of dietary treatment therapy, and the differences were statistically significant (P < 0.01) . Conclusion Dietary treatment managed by the food exchange portion dietary software could improve metabolic indices such as blood glucose, blood lipid, weight and so on in the patients with type Ⅱ diabetes.
Key words:diabetes ; dietary software ; food exchange portion
在糖尿病现代综合治疗方案中，饮食控制是治疗糖尿病的先决条件。美国糖尿病协会(ADA)2007版糖尿病诊疗标准强调，糖尿病患者的饮食治疗方案需根据患者的具体情况进行个体化指导和设计［1］。以往常用的食谱制作方法存在计算繁琐、食谱固定、不易满足患者饮食习惯的需求等问题，致使患者饮食治疗可操作性低，血糖控制不理想。
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