营养干预结合注射胰岛素治疗儿童糖尿病

摘要

目的：通过实践研究营养干预结合注射胰岛素治疗儿童糖尿病的临床效果。方法统计该院于2006年—2015年收治的1型糖尿病儿童患者共计26例，将所有患者随机平均分为两个组，每组患儿13例。对照组患儿行常规基本治疗方式进行治疗，观察组患儿在基本胰岛素注射治疗基础之上加行营养干预治疗，对比两组患儿经治疗后的血糖指标恢复情况。结果对照组13例患儿经治疗之前的血糖指标为：空腹状态下血糖值为（16.23±3.21）mmol/L，餐后2 h的血糖值为（23.25±1.53）mmol/L，在经过常规胰岛素注射治疗方式之后，空腹血糖值为（13.56±2.05）mmol/L，餐后2 h的血糖值为（18.36±2.39）mmol/L；观察组13例患儿经常规胰岛素注射治疗加营养干预治疗之后的血糖指标为：空腹状态下血糖值为（16.68±3.52）mmol/L，餐后2 h的血糖值为（22.96±2.17）mmol/L，在经过常规胰岛素注射治疗加营养干预方式之后，空腹血糖值为（8.85±2.91）mmol/L，餐后2 h的血糖值为（11.99±2.43）mmol/L。经卡方t检验对比两组患者之间的血糖变化指标，得出P值小于0.05，差异具有统计学意义。结论对1型糖尿病儿童的患者的治疗，行常规胰岛素注射具有着一定的治疗效果，但在此基础上加行营养干预治疗则效果更为良好，因此值得临床推广应用。%Objective Nutritional intervention combined effect of insulin therapy clinical study of diabetes in children through practice. Methods Statistical our hospital in 2006-2015 in pediatric patients with type 1 diabetes totaled 26 cases, all patients were randomly divided into two groups, each group of 13 cases of children. Children in the control group under-went conventional treatment basic treatment, patients in the observation group on the basis of basic insulin therapy plus line of nutrition intervention, blood sugar compared two groups of children after treatment recovery. Results 13 cases of blood sugar in children treated before the control group: the fasting state blood glucose values (16.23 ± 3.21) mmol / L, 2-hour postprandial blood glucose values (23.25 ± 1.53) mmol/L, after After conventional insulin injection treatment, fasting blood glucose values ?? (13.56 ± 2.05) mmol / L, 2-hour postprandial blood glucose values (18.36 ± 2.39) mmol/L; observation group of 13 patients by conventional insulin injection therapy plus nutrition glycemic index after intervention were:the fast-ing state glucose values (16.68 ± 3.52) mmol / L, 2-hour postprandial blood glucose values (22.96±2.17) mmol/L, after con-ventional insulin injection therapy plus nutritional intervention After fasting blood glucose value (8.85 ±2.91) mmol/L, 2-hour postprandial blood glucose values (11.99 ± 2.43) mmol / L. The chi-square test contrast t glycemic index change be-tween the two groups of patients, obtained P values less than 0.05, the difference was statistically significant. conclusion:children with type 1 diabetes, the treatment of patients underwent conventional insulin therapy has a certain effect, but based on this line of nutritional intervention plus the effect is more favorable, and therefore worthy of clinical application.