Abstract：Objective To evaluate the effects of nutritional intervention on patients with type 2 diabetes in community．Provided the scientific basis for diabetes management. Methods A total of 220 patients with type 2 diabetes in Gaoqiao Community of Shanghai were randomly divided into the intervention group(n=110) and control group(n=110)．The intervention group received community nutrition intervention 6 months．The changes of the awareness rate of nutrition knowledge,blood sugar and fat inspection Results were compared between the two groups after the intervention．Results Compared with the fasting venous blood sugar[(6.79±2.62)mmol/L,(8.58±2.53) mmol/L,t=5.15,p<0.05],2hr postprandial blood sugar[(7.92±2.58) mmol/L,(10.11±2.55) mmol/L,t=6.33,p<0.05], total cholesterol[(6.88±1.13) mmol/L,(7.25±1.16) mmol/L,t=2.40,p<0.05], glycated hemoglobin[(4.88±1.33) %,(5.25±1.21) %,t=2.16,p<0.05] and high-density lipoprotein[(1.45±0.21) mmol/L,(1.40±0.15) mmol/L,t=2.03,p<0.05] were improved as well as the awareness rate of nutrition knowledge after the intervention（80.18%,70.18%,χ2=29.76,p<0.01）． Conclusion Community nutrition intervention could improve the awareness rate of nutrition knowledge. Obvious effects on improved the biochemical indicators of type 2 diabetic patients. Worth to carry out long-term.
丁以标, 刘红, 王文萍, 贾吉勇. 2型糖尿病患者社区营养干预效果评价[J]. 实用预防医学, 2016, 23(4): 423-425.
DING Yi-biao, LIU Hong, WANG Wen-ping, JIA Ji-yong. Effects of Community Nutritional Intervention on Type 2 Diabetics. , 2016, 23(4): 423-425.
[1] Wenying Yang, Jurning Lu, Juming Weng, et al. Prevalence of diabetes among men and women in China[J].The New England Journal of Medicine,2010,362(12):1090-1101. [2] 涂萍,柳江,吴和平,等．南昌地区糖尿病患者医院–社区一体化管理效果[J].上海医学,2012,35(7):597-600. [3] 《中国糖尿病防治指南》编写组.中国糖尿病防治疗指南[M].北京:北京大学医学出版社,2004:74. [4] Shaw J E, Zimmet P Z, De comten M,et al. Imparied fasting glucose or impaired glucose tolerance what best predicts future diabetes in Mauritius[J].Diabetes Care,1999,22(3):399-402. [5] 阮晓楠,邱桦,李锐．上海市浦东新区某社区2型糖尿病患者营养干预效果评价[J].中国全科医学,2010,13(2):124-127. [6] 王平,黄红儿,赵诣,等．宝山区2型糖尿病病人营养干预效果评价[J].中国农村卫生事业管理,2013,33(3):278-280. [7] 邱桦,阮晓楠,杨黎明,等．上海市高桥社区居民2型糖尿病患病情况调查[J]. 上海预防医学,2011,23(9):463-465. [8] 钱孝琳,顾海雁,朱惠仙,等．上海市徐汇区社区2型糖尿病患者营养干预效果评价[J]．上海预防医学,2013,25(7):378-380. [9] 郭淑芹,李志红,张云良,等. 社区居民糖尿病患病率、知晓率和控制率现况调查[J].实用预防医学,2011,18(11):2202-2203. [10] 吴晓娜,邓波,崔越,等．血糖负荷为基础的食物交换份在糖调节受损患者中的应用与效果评价[J].实用预防医学,2013,20(6):743-745. [11] 吕姿之．健康教育与健康促进[M].北京：北京医科大学,中国协和医科大学联合出版社,1998:52. [12] 姬玉梅．浅谈饮食疗法在糖尿病治疗中的作用[J]．中外医学研究,2010,8(30):94. [13] 金曦东．强化饮食干预对肥胖型2型糖尿病病情控制效果评价[J]．求医问药,2012,10(6):306. [14] 石瑞新,裴燕.老年糖尿病患者的饮食控制方法及效果分析[J].实用预防医学,2012,19(5):763-765. [15] 司宝立.饮食干预对肥胖糖尿病患者的影响[J].河南预防医学杂志,2011,22(2):125-126. [16] 徐冬连,徐冬梅,马向华,等．饮食控制对超重或肥胖2型糖尿病患者血脂的影响[J]．江苏医药,2012,38(1):74-75. [17] 王新民,崔艳凤,谭冲能,等．中低热量饮食对超重和肥胖2型糖尿病患者治疗的影响[J]．中国糖尿病,2013,11(2):92-94. [18] WHO. Prevention of diabetes mellitus[R].Geneva: World Health Organization,1994. [19] 梁惠琦,李惠萍,义家运．糖尿病患者营养知识、态度和行为的调查分析[J].广西医学,2011,33(10):1361-1363. [20] 楼君芳,丁元林,宋平,等.慢性非传染性疾病生活方式干预研究进展[J].实用预防医学, 2012,19(8):1279-1263. [21] 王春花.营养护理干预对2型糖尿病患者的必要性分析及对策[J].中国实用医药,2015,10(14):257-258.
2016, Vol. 23 
