中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
148-150
,共3页
糖尿病%肺结核%饮食干预
糖尿病%肺結覈%飲食榦預
당뇨병%폐결핵%음식간예
Diabetes mellitus%Pulmonary tuberculosis%Dietary intervention
目的：探讨饮食干预对糖尿病合并肺结核患者临床疗效的影响。方法将72例糖尿病合并肺结核患者随机分为干预组和对照组。调查患者原有饮食习惯，干预组制订个性化饮食治疗方案，对照组采用传统的健康教育进行饮食指导，比较两组治疗前后空腹和餐后2h血糖的控制情况、干预前后胸腔积液吸收状况及病灶变化、干预前与2个月时的痰阳性例数。结果干预组空腹血糖及餐后2 h血糖显著低于对照组(P<0.001)，胸腔积液显著减少或消失症状及痰菌转阴率显著高于对照组，差异有统计学意义(χ2=1.797，P=0.002)，两组的结核病灶显著缩小或闭合所占比例比较，差异无统计学意义(χ2=1.532，P=0.216)，2个月时痰菌转阴率显著高于对照组，差异有统计学意义(χ2=4.600，P=0.032)。结论饮食干预对糖尿病的控制和肺结核的康复有良好疗效。
目的：探討飲食榦預對糖尿病閤併肺結覈患者臨床療效的影響。方法將72例糖尿病閤併肺結覈患者隨機分為榦預組和對照組。調查患者原有飲食習慣，榦預組製訂箇性化飲食治療方案，對照組採用傳統的健康教育進行飲食指導，比較兩組治療前後空腹和餐後2h血糖的控製情況、榦預前後胸腔積液吸收狀況及病竈變化、榦預前與2箇月時的痰暘性例數。結果榦預組空腹血糖及餐後2 h血糖顯著低于對照組(P<0.001)，胸腔積液顯著減少或消失癥狀及痰菌轉陰率顯著高于對照組，差異有統計學意義(χ2=1.797，P=0.002)，兩組的結覈病竈顯著縮小或閉閤所佔比例比較，差異無統計學意義(χ2=1.532，P=0.216)，2箇月時痰菌轉陰率顯著高于對照組，差異有統計學意義(χ2=4.600，P=0.032)。結論飲食榦預對糖尿病的控製和肺結覈的康複有良好療效。
목적：탐토음식간예대당뇨병합병폐결핵환자림상료효적영향。방법장72례당뇨병합병폐결핵환자수궤분위간예조화대조조。조사환자원유음식습관，간예조제정개성화음식치료방안，대조조채용전통적건강교육진행음식지도，비교량조치료전후공복화찬후2h혈당적공제정황、간예전후흉강적액흡수상황급병조변화、간예전여2개월시적담양성례수。결과간예조공복혈당급찬후2 h혈당현저저우대조조(P<0.001)，흉강적액현저감소혹소실증상급담균전음솔현저고우대조조，차이유통계학의의(χ2=1.797，P=0.002)，량조적결핵병조현저축소혹폐합소점비례비교，차이무통계학의의(χ2=1.532，P=0.216)，2개월시담균전음솔현저고우대조조，차이유통계학의의(χ2=4.600，P=0.032)。결론음식간예대당뇨병적공제화폐결핵적강복유량호료효。
Objective To explore the clinical effect influence of dietary intervention on promotion of patients with dia-betes mellitus and pulmonary tuberculosis. Methods 72 patients with diabetes mellitus and pulmonary tuberculosis were randomly divided into intervention group and control group.The original dietary habits in all participants were in-quired.In the intervention group,the individualized dietary therapeutic regimen was established,while in the control group,patient’s diet was guided by conventional health education.The situations of blood glucose control before and after treatment,in fasting,and 2 h after a meal,absorption of pleural effusion before and after intervention,focus change and number of positive cases in sputum before intervention and 2 months after intervention were compared. Results The fasting blood glucose and 2 h postprandial blood glucose in the intervention group were both obviously lower than that in the control group,with statistical difference (P<0.001).Obvious decrease in pleural effusion or symptom disappear-ance,and negative conversion ratio of bacterium from sputum were both remarkably higher than those in the control group,with statistical difference (χ2=1.797,P=0.002).there was no statistical difference in proportion of pulmonary tuber-culosis focus greatly shrinking or closing between two groups (χ2=1.532,P=0.216).The negative conversion ratio of bac-terium from sputum in 2 months was obviously higher than that in the control group(χ2=4.600,P=0.032). Conclusion Di-etary intervention obtains favorable effects on the control of diabetes mellitus and rehabilitation of pulmonary tuberculosis.
