量化日常活动、饮食干预对慢性乙型肝炎的效果观察  

Effects of Quantification Intervention of Daily Activities and Diet on Patients with Chronic Hepatitis B

作　　者：黄海燕[1] 李孟英[1] 陈宝玉[1] 覃媚[1] 李香萍[1] 刘芳宁[1] 

机构地区：[1]中国人民解放军第三0三医院传染科,南宁市530021

出　　处：《广西医学》2014年第7期908-911,共4页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z2011019)

摘　　要：目的观察量化日常活动、饮食对慢性乙型肝炎(CHB)的临床效果。方法 CHB患者100例,按随机数字表法分为两组各50例,对照组按护理常规进行日常活动、饮食干预;干预组将患者各类日常活动项目转换为能量消耗量,按照人体活动消耗量合理安排饮食。结果经护理干预后,干预组总运动量、有效运动量、实际平衡量比治疗前明显提高,且提高的幅度大于对照组(P<0.05);干预后两组ALT、AST、TBIL水平明显降低(P<0.01),其中干预组下降幅度比对照组大(P<0.05);干预组总有效率为98.0%(49/50),对照组为82.0%(41/50),干预组的疗效优于对照组(P<0.01)。结论按恰当的能量消耗量来安排患者的日常活动量、活动项目及饮食量,对肝功能恢复和疗效是有益的。Objective To observe the effects of quantification intervention of daily activities and diet on patients with chronic hepatitis B（ CHB）. Methods One hundred patients with CHB were divided into two groups according to the random number table,50 cases in each group. The control group received routine nursing intervention on daily activities and diet. In the intervention group,all kinds of daily activities projects of the patients were converted to energy consumption,and the patients＇ diet was arranged rationally based on their energy consumption. Results After nursing intervention,the total exercise consumption,effective exercise consumption and actual balance consumption increased significantly,and the increase in the intervention group was better than that in the control group（ P 〈 0. 05）.The levels of ALT,AST,TBIL decreased significantly in two groups after intervention（ P 〈 0. 01）,but the decrease in the intervention group was more significant than that in the control group（ P 〈 0. 05）. The total effective rate was 98. 0%（49/50） in the intervention group,while in the control group was 82. 0%（ 41/50）,the curative effect of intervention group was better than that of control group（ P 〈 0. 01）. Conclusion The arrangement of patient＇s daily activity,activities,and diet based on the appropriate energy consumption can effectively improve the hepatic function and therapeutic effect for patients with CHB.

关 键 词：慢性乙型肝炎 量化日常活动 量化饮食 护理干预 

分 类 号：R512.62[医药卫生—内科学]