【摘要】 [目的]探讨实施饮食与运动量化管理对社区中老年糖尿病患者病情控制和管理的作用。[方法]2008年在大连市石道街社区卫生服务中心,选取自愿参加管理的老年糖尿病患者121例,使用能量监测仪监测其饮食、运动能量平衡情况,在3个月中进行8次复诊,对饮食、运动能量进行量化分析、调整及个体化指导,观察控制病情的效果。[结果]接受管理107例糖尿病患者管理后与管理前比较,有效运动能量消耗增加(P<0.01);膳食总摄入量、三大营养素摄入比例都有明显改善(P<0.05或P<0.01);体重、体重指数、腰围、血压、血糖、总胆固醇、糖化血红蛋白显著下降,甘油三酯与低密度脂蛋白胆固醇有所增高(P<0.01)。[结论]对社区糖尿病患者采用饮食与运动的量化管理,可以明显控制和延缓糖尿病的病情发展。更多还原

【Abstract】 [Objective]To explore the effect of disease control and management after the implementation of quantitative management of diet and exercise for old diabetes patients in the community.[Methods]121 voluntary diabetes patients in the health center of Shidaojie community were selected,diet,exercise energy balance were supervised with energy monitoring device.quantitative analysis of diet,exercise energy and improvement as well as individual instruction were conducted during the three months of 8 further consultation for the patients.the disease control effect was observed.[Results]The effective exercises energy consumption(P<0.01),the total intake of diet,the intake proportion of the three major nutrients were obviously improved among the 107 patients after management(P<0.05 or P<0.01).Weight,body mass index,waist,blood pressure,blood sugar,total cholesterol,glycosylated hemoglobin declined obviously,while triglyceride and low-density liporoteins cholesterol were higher than that before.[Conclusion]The development of diabetes can be controlled and delayed after diet and exercise quantitative management for diabetes patients in the community.更多还原