中文摘要：

目的探讨食物交换份手测量法在糖尿病膳食治疗中的应用，并评价其合理性。方法按照分层拦截的方法，调查舟山市415名成人的身高、体重以及拳头、手前掌和拇指体积大小，建立手部位测量每日膳食食物交换份方法，结合立方体比对手部位测量蛋白质类熟食体积、常见餐具框定测量主食和植物油，形成熟食体积测量法，比较熟食体积测量法与传统生重称重法的一致性。结果低身高人群拳头、手前掌体积分别为（228．13-310．85）、（62．22—84．78）ml；中等身高人群拳头、手前掌体积分别为（250．00-388．95）、（68．18—106．08）ml；高身高人群拳头、手前掌体积分别为（345．00-432．35）、（94．09—117．91）m1，而同身高组人群，体重越大，其拳头、手前掌体积越大；同体型组人群，身高越高，其拳头、手前掌体积亦越大。根据手部位测量体积，植物油手测量不合适，肥胖、消瘦和身材较高、较矮的人蛋白质类、主食类手测量误差较大，而综合运用手部位、立方体和常见餐具的熟食体积测量法与生重称重法取得一致结果。结论糖尿病患者平衡膳食食物交换份手测量法结合立方体、常见餐具测量熟食体积方法，适合糖尿病患者的膳食治疗，并可提高其依从性。

英文摘要：

Objective To study the application of food hand measurement on the diet therapy and evaluate its rationality. Methods According to the method of stratified interception, 415 adults were chosen in Zhoushan City. Their height, weight, fist, hand palm and thumb size were measured. The cooked food volume measurement method was built by the daily dietary food exchange method of hand position measurement, the measured protein foods using the cube and vegetable or oil with common tableware. The cooked volume measurement method was compared with the weighing method applying to diabetic diet. Results The fist and hand palm volume in shorter people were （228.13 - 310.85） ml and （62.22 - 84.78） ml, those in the taller people were （250.00-388.95） ml, （68.18 - 106.08） ml, and those in taller people were （345.00-432.35） ml and （94.09-117.91） mh In the same height group, when the one＇s weight was greater, the fist and hand palm volume were larger. When the weight was the same but the height was taller, the fist and hand palm volume were larger. The vegetable oil hand measurement was not appropriate by the measurement of hand position volume. The calories error of proteins and the staple food with hand measurements was larger than weighing method in the tall and obese people, that was not enough in the slim and short people. And the cooked volume measurement method that combined hand measurements with the cube and common tableware was appropriate to diabetic diet. Conclusion The hand measurement method combined with cube and common tableware box was suitable for diet therapy for diabetes. This method could be helpful to increase treatment compliance to balaneed diet.