CAJ | 학술논문

目的：了解成都市成华区2型糖尿病患者医学营养治疗（ medical nutrition therapy ，MNT）的知信行情况，探讨其膳食结构的合理性。方法选取中老年2型糖尿病患者500例进行一般情况的检查和问卷调查，营养摄入量的调查采用食物频率问卷（FFQ）调查法，并结合临床资料进行分析。结果体重指数（BMI）正常组MNT知晓率70．05％，达标率59．90％，血糖控制情况好，合并症存在少，与超重组或肥胖组比较，差异有统计学意义（ P＜0．05），三组患者膳食结构存在粮谷类比重减小，禽肉类、蛋奶类和豆制品比重增加。患者膳食中脂肪供能比例高于50％，而碳水化合物的供能比例低于35％，每日摄入总能量与标准供给能量比较明显偏高。结论成都市成华区2型糖尿病患者MNT的知晓率与达标率不高，饮食结构不合理，摄入能量过剩及三大营养素供给失衡，因此在综合治疗措施中应加强MNT是糖尿病治疗基石的观念，控制摄入的总能量，合理均衡营养，达到维持机体正常生存和调整代谢失衡的目的。
목적：료해성도시성화구2형당뇨병환자의학영양치료（ medical nutrition therapy ，MNT）적지신행정황，탐토기선식결구적합이성。방법선취중노년2형당뇨병환자500례진행일반정황적검사화문권조사，영양섭입량적조사채용식물빈솔문권（FFQ）조사법，병결합림상자료진행분석。결과체중지수（BMI）정상조MNT지효솔70．05％，체표솔59．90％，혈당공제정황호，합병증존재소，여초중조혹비반조비교，차이유통계학의의（ P＜0．05），삼조환자선식결구존재량곡류비중감소，금육류、단내류화두제품비중증가。환자선식중지방공능비례고우50％，이탄수화합물적공능비례저우35％，매일섭입총능량여표준공급능량비교명현편고。결론성도시성화구2형당뇨병환자MNT적지효솔여체표솔불고，음식결구불합리，섭입능량과잉급삼대영양소공급실형，인차재종합치료조시중응가강MNT시당뇨병치료기석적관념，공제섭입적총능량，합리균형영양，체도유지궤체정상생존화조정대사실형적목적。
Objective To investigate the status of knowledge ,attitude and practice ( KAP) of medical nutrition therapy ( MNT) in patients with type 2 diabetes mellitus at Chenghua district of Chengdu , and discuss the reasonable diet structure .Methods Five hundred elderly patients with type 2 diabetes were selected as the objects to check the general situation and have a questionnaire sur -vey.The investigation of nutritional intake was carried out by using a food frequency questionnaire ( FFQ) method,and analyzed by com-bination of clinical data .Results Compared with the overweight or obese group ,the awareness rate of MNT in BMI normal group was 70.05% and the reaching standard rate was 59.90%with a good blood sugar control and less complications .The difference was statisti-cally significant ( P <0.05 ) .The dietary structure of patients in all the three groups showed that proportion of grain was reduced while proportions of poultry ,eggs,and milk/soy products were increased .The fat for energy supply ratio was higher than 50%while carbohy-drate was less than 35%.The total daily energy intakes were significantly higher than standard daily energy supply .Conclusion The awareness rate and compliance rate of MNT in patients with type 2 diabetes at Chenghua District is not high .Their diet structure is un-reasonable,energy intake is excess and three nutrients supplies are imbalance .In a comprehensive treatment,therefore,the concept that the MNT is the cornerstone of diabetes therapy should be strengthened ,the total energy intake has to be controlled ,and nutrition should be reasonably balanced in order to maintain the body ’s normal survival and adjust the metabolism imbalance .