综合干预治疗对单纯性肥胖儿童脂肪肝的影响  

The impact of comprehensive intervention in the treatment of fatty liver for children with simple obesity

作　　者：潘彩金[1] 肖巨庆[1] 陈侃[1] 刘健宏[1] 许丽芳[1] 张翠琼[1] 

机构地区：[1]广东省深圳市宝安区人民医院儿科,深圳518101

出　　处：《当代护士（下旬刊）》2012年第9期76-78,130,共4页Modern Nurse

摘　　要：目的探讨综合干预治疗对单纯性肥胖儿童脂肪肝的影响。方法对58例脂肪肝肥胖儿童进行饮食调节、行为矫治、运动训练等综合干预治疗1年,观察治疗前后患儿体重、身高、血压、BMI值、TC、TG等指标。同时选取体重正常儿童58名作为对照组。结果治疗1年后肥胖儿童的身高、体重、BMI值、收缩压、舒张压、TC、TG等指标较治疗前明显降低(P<0.01),干预前HDL-C低于对照组(P<0.01),干预后HDL-C高于干预前(P<0.01);治疗后体重、身高、BMI值、收缩压、血糖及血脂水平、ALT与正常同龄儿童无差异(P>0.05)。结论综合干预治疗较好地控制了儿童单纯性肥胖症的发展,改善了血脂水平,使体内中性脂肪减少,脂肪肝的发生率降低。Objectives To explore the impact of comprehensive intervention in the treatment of fatty liver for children with simple obesity,Methods Give 58 cases of obese children with fatty liver comprehensive intervention such as antisecosis, behavioral treatment, exercise training intervention and so on in one year and observe the index of weight, height, blood pressure, BMI value, TC, TG and other indicators before and after treatment. At the same time select 58 children with normal weight as a control group. Results After 1 year,the height, weight, BMI values, systolic blood pressure, diastolic blood pressure, the TC, TG, and other indicators of obese children were significantly lower （P〈0.01）than before. HDL-C of obese children is lower than the control group （P〈0.01） before treatment. HDL-C of obese children after the intervention is higher than before （P〈0.0i）; no difference in weight and height is between 2 groups（P〉0.05）.Conclusion Comprehensive intervention control the development of simple obesityeffectively, improve blood lipid levels, so we think that it can decrease the neutral fat in our body and reduce the incidence rate of fatty liver.

关 键 词：综合干预治疗 单纯性肥胖症 儿童 脂肪肝 

分 类 号：R473.72[医药卫生—护理学]