目的 分析基于动态葡萄糖监测系统的体验式膳食干预对2型糖尿病患者低血糖恐惧的影响。方法 便利抽样法选取某三级甲等医院内分泌科2型糖尿病患者为研究对象，采用随机数字表法将其分为观察组（n=42）和对照组（n=43），对照组实施常规护理，观察组在对照组的基础上实施为期14 d的基于动态葡萄糖监测系统的体验式膳食干预。采用低血糖恐惧-行为量表和2型糖尿病患者饮食行为依从性测评量表评价干预效果。结果 干预后观察组低血糖恐惧-行为量表得分低于干预前、后对照组，2型糖尿病患者饮食行为依从性测评量表得分高于干预前、后对照组，差异有统计学意义（均P＜0.05）。结论 对2型糖尿病患者进行基于动态葡萄糖监测系统的体验式膳食干预，可有效降低2型糖尿病患者低血糖恐惧，提升2型糖尿病患者饮食行为依从性。

Objective To analyze the effect of experiential dietary intervention based on dynamic glucose monitoring system on hypoglycemia phobia in type 2 diabetics.Methods Patients with type 2 diabetes in the endocrinology department of a tertiary A hospital were selected as the objects by convenience sampling,and were divided into experimental group (n=42) and control group (n=43) by random number table method.Experimental group received experiential dietary intervention based on dynamic glucose monitoring system for 14 days on the basis of control group,and control group received routine nursing.Hypoglycemic fear-behavior scale and dietary behavior compliance scale of type 2 diabetes patients were used to evaluate the intervention effect.Results The hypoglycemic fear-behavior scale score of the experimental group after intervention was lower than that of the pre-intervention and post-intervention control group,and the compliance scale score of the dietary behavior of type 2 diabetes patients was higher than that of the pre-intervention and post-intervention control group,with the difference statistically significant (P＜0.05).Conclusions Experiential dietary intervention based on dynamic glucose monitoring system in type 2 diabetes patients can effectively reduce the fear of hypoglycemia and improve the compliance with dietary behavior in type 2 diabetes patients.

R473.58

河南省医学科技攻关计划省部共建项目（SB201901086）