补充微量营养素对不同血糖水平2型糖尿病患者感染的影响

Effect of supplementation with micronutrients on incidence of common infections in type 2 diabetic patients with different fasting blood glucose levels

  • 摘要: 目的: 探讨补充微量营养素对不同空腹血糖水平的2型糖尿病患者感染的影响。方法: 将196名2型糖尿病患者随机分为对照组和干预组,分别补充安慰剂和微量营养素制剂,连续服用6个月。在研究开始前和结束时进行人体测量、血生化和CD4+、CD8+分析。研究前1个月及研究期间每月随访1次,每2周记录1次饮食、运动和感染情况。结果: 研究结束时14人退出研究,脱落率7.1%,获得有效数据182例。对照组92例,血糖≤6.1mmol/L 27例,血糖>6.1mmol/L 63例;干预组90例,血糖≤6.1mmol/L 30例,血糖>6.1mmol/L 62例。干预组血糖≤6.1mmol/L者发热持续时间显著低于对照组;血糖>6.1mmol/L者发热发生率、发热时体温、发热持续时间、皮肤脓肿与破溃发生率均显著低于对照组。结论: 无论空腹血糖控制如何,补充微量营养素可提高糖尿病患者CD4+,降低CD8+,减少一般感染的发病率。

     

    Abstract: Objective: To investigate the effect of supplementation with micronutrients on incidence of common infections in type 2 diabetic patients with different fasting blood glucose levels. Methods: A randomized double blind and placebo-control trial was carried out,in which 196 type 2 diabetic patients were enrolled and randomized to receive tablets of micronutrients or placebo for 6 months.Individualized energy intake and physical activity daily were advised for each patient based on his or her basic information.Anthropometric index,blood biochemical variable.CD4+ and CD8+ were measured at the initial and final time points of the study.Diet,exercise and infection were recorded once a week and interview was done one month before and every month during the study. Results: Fourteen patients were excluded from the study.There were 92 patients in placebo group(27 with their blood glucose≤6.1mmol/L,63 with their blood glucose≤6.1mmol/L) and 90 patients in supplementation group(30 with their blood glucose≤6.1mmol/L,and 62 with their blood glucose>6.1mmol/L).There was no significant difference in all the parameters between the two groups at the initial time point of the study.The duration of fever was much shorter in supplementation group than in placebo group with its blood fasting glucose≤6.1mmol/L.The incidence of common fever and dermapostasis was much lower in supplementation group than in placebo group with its fasting glucose >6.1mmol/L.In addition,the temperature was much lower and the duration of fever was much shorter in supplementation group than in placebo group with its blood fasting glucose>6.1mmol/L. Conclusion: Supplementation with micronutrients daily for six months can increase the amount of CD4+,reduce the amount of CD8+ and the incidence of common infections in type 2 diabetic patients with different blood fasting glucose levels.

     

/

返回文章
返回