碳水化合物计数法在 2 型糖尿病患者中血糖控制效果的Mate 分析

王艳 平1, 陈婷 婷1, 李 琳1, 陈 婷2, 彭 芳3, 邓开 琴1
1.荆州市长江大学附属第一医院内分泌科 湖北荆州 434000 2.利川市人民医院呼吸与危重症医学科 湖北恩施 445400 3.荆州市长江大学医学部 湖北荆州 434023

摘要

摘要:目的：评价碳水化合物计数法与糖尿病常规饮食法，对 2 型糖尿病（Type 2 diabetes mellitus, T2DM）患者血糖的控制效果。方法： 计算
机检索 PubMed、Embase、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、维普数据库和万方数据库，搜集关于碳水
化合物计数法对 T2DM 患者糖化血红蛋白（HbA1c）、体质指数（BMI）、舒张压干预效果的随机对照试验，检索时限为建库至 2023 年 4 月。由
2 名研究者独立进行文献筛选、资料提取、文献质量评价后，采用 RevMan 5.4 软件进行 Meta 分析。结果：最终纳入 4 篇文献，包括 600 例 T2DM
患者。Meta 分析结果显示，碳水化合物计数法能够明显降低 T2DM 患者的 HbA1c［MD=-0.63，95%CI（-1.08，-0.17），P=0.007］，BMI［MD=-2.55，
95%CI（-3.93，-1.18），P=0.0003］，舒张压［MD=-5.88，95%CI（-9.96，-1.80），P=0.005］，差异具有统计学意义；亚组分析结果显示干预 6 个
月 HbA1c［MD=-0.20，95%CI（-0.35，-0.0.5），P=0.009］与干预 12 个月 HbA1c［MD=-1.05，95%CI（-1.63，-0.47），P=0.0004］相比，后者优于
前者，结论: 碳水化合物计数法优于糖尿病常规饮食法，能给 T2DM 患者带来更大的益处。

关键词

关键词:T2DM；碳水化合物计数法；Meta 分析；循证护理

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作者简介：王艳平（1991-04） ，女，硕士研究生，主管护师 ，

研究方向为糖尿病管理。

通信作者：邓开琴（1970-3），女，本科，副主任护师，研究

方向为护理管理，Email:[e-mail]