非酒精性脂肪肝患者运动行为与饮食干预效果分析  

Effects of exercise,behavior,and diet intervention on patients with non-alcoholic fatty liver

作　　者：王凤卿[1] 贾宏[1] 陈卓霞[1] 黄清清[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《中国健康教育》2009年第2期106-108,115,共4页Chinese Journal of Health Education

摘　　要：目的探讨对非酒精性脂肪肝患者运动行为与饮食干预的效果,为指导患者建立良好的运动行为与饮食习惯、提高生活质量提供依据。方法对来北京大学深圳医院体检中心接受体检的120名非酒精性脂肪肝确诊病人实施为期4个月的运动行为与饮食干预,对干预效果进行评估。120名患者中,男性71人,女性49人,单纯性肥胖性脂肪肝31人,糖尿病脂肪肝38人,高脂血症脂肪肝50人,其他1人。结果干预前患者饮食控制合格与运动达标率分别为7.50%和10.83%,干预后分别升高到92.50%和90.00%(P<0.01)。干预前患者高热量与高脂肪的摄入率分别为100.0%与93.75%,干预后分别降低为8.93%与17.10%(P<0.01)。患者的自我保健知识、健康饮食与行为知识、疾病预防与治疗知识知晓率干预后显著高于干预前(P<0.05)。干预后38名糖尿病脂肪肝患者的血糖平均值为7.2±2.2mmol/L,低于干预前的11.9±3.5 mmol/L(P<0.01);50名高脂血症患者干预后的甘油三酯为2.28±1.19mmol/L,低于干预前的2.91±1.30mmol/L(P<0.01)。结论行为干预有利于非酒精性脂肪肝患者建立健康的生活方式,提高生活质量。Objective To investigate the effects of exercise, behavior, and diet intervention on the patients with non-alcoholic fatty liver （NAFL）. Methods 120 patients with NAFL from the medical examination center of Peking University Shenzhen Hospital received exercise, behavior, and diet intervention. In these NAFL patients, 71 were male and 49 were female, 31 were with simple obesity and fatty liver, 38 with diabetes mellitus, 50 with hyperlipoidemia and 1 with oth- er disease. Four months later relevant examination and questionnaire survey were conducted to evaluate the effect of inter- vention. Results The food control qualified rate and reaching standard rate of exercise after intervention of the patients were 92. 50% and 90. 00% respectively, both significantly higher than those before intervention （7. 50% and 10. 83% re- spectively, both P 〈0. 01 ）. The high calorie food intake rate and high fat food intake rate after intervention were 8. 93% and 17. 10% respectively, both significantly lower than those before intervention （ 100. 0% and 93.75% respectively, both P 〈 O. Ol ）. The knowledge rates of self-care, healthy diet and behaviour, and diseases prevention and treatment increased significantly after intervention （ all P 〈 0. 05 ）. The blood sugar level of the 38 DM patients after intervention was 7.2 ±2. 2 mmol/L, significantly lower than that before intervention （ 11.9 ± 3.5 mmol/L, P 〈 0.01 ）. The triglyceride level of the 50 hyperlipoidemia patients after intervention was 2. 28 ± 1.19 mmol/L, significantly lower than that before intervention （2.91 ± 1.30mmol/L, P 〈 0. 01 ）. Conclusion Exercise, behavior, and diet intervention helps the NAFL patients establish healthy life style and improve their life quality.

关 键 词：脂肪肝 非酒精性 饮食疗法 运动行为 

分 类 号：R193[医药卫生—卫生事业管理] R575.5[医药卫生—公共卫生与预防医学]