综合护理干预治疗非酒精性脂肪肝的疗效  

Efficacy Disease of Comprehensive Nursing Intervention for the Treatment of Non-alcoholic Fatty Liver Beijing Tiantan

作　　者：韩玉英[1] 赵红[1] 任莉[1] 朱玉群[1] 

机构地区：[1]首都医科大学附属北京天坛医院消化内科,北京100050

出　　处：《医学临床研究》2012年第3期425-427,共3页Journal of Clinical Research

摘　　要：【目的】探讨综合护理干预在非酒精性脂肪肝（NAFLD）治疗中的作用。【方法】选择326例经B超确诊的NAFLD患者，给予护理干预为基础的综合治疗，包括健康教育、心理辅导、饮食和运动指导，3个月后比较干预前后患者的体质量指数（BMI）和生化指标。【结果】经综合护理干预后NAFLD患者的血清丙氨酸氨基转移酶（ALT）、天门冬氨酸氨基转移酶（AST）、甘油三酯（TG）、总胆固醇（TC）及低密度脂蛋白胆固醇（LDL—C）较干预前明显降低，且差异有显著性（P〈0．05），但干预前后BMI比较无显著差异（P〉0．05）。【结论】综合护理干预作为基础治疗，短期内有助于NAFLD患者的肝功能和血脂的改善。[Objective]To explore the role of comprehensive nursing intervention in the treatment of non- alcoholic fatty liver disease （NAFLD）. [Methods]Totally 326 NAFLD patients diagnosed by B-ultrasound were selected and given with the combined therapy based on nursing intervention including health education, psychological counseling, diet and exercise guidance. Three months later, body mass index（BMI） and bio-chemical indicators were compared before and after intervention. [Results] Compared with before intervention, the levels of serum alanine aminotransferase（ALT）, aspartate aminotransferase（AST）, triglyceride （TG）, total cholesterol（TC） and low density lipoprotein-C（LDL-C） after comprehensive nursing intervention obviously decreased, and there were significant difference（P〈0.05）. There was no significant difference in BMI between before andafter intervention （ P 〈 0. 05）. [Conclusion] As basic therapy, the comprehensive nursing intervention is helpful for the improvement of liver function and blood lipids of NAFLD patients.

关 键 词：脂肪肝/病因学 脂肪肝/护理 

分 类 号：R575.5[医药卫生—消化系统]