优质护理干预在益肝降脂方治疗非酒精性脂肪肝患者中的应用效果  

Effect of high quality nursing intervention on treating patients with nonalcoholic fatty liver with Yigan Jiangzhi prescription

作　　者：付延玉[1] 张本菊[1] 张英[1] 杨婷婷 FU Yan-yu;ZHANG Ben-ju;ZHANG Ying;YANG Ting-ting(Department of Gastroenterology,the Second People＇s Hospital of Guangdong Province,Guangzhou 510310,China)

机构地区：[1]广东省第二人民医院消化内科,广东广州510310

出　　处：《中国当代医药》2018年第20期170-173,共4页China Modern Medicine

基　　金：广东省中医药局科研项目(20161007)

摘　　要：目的探讨优质护理在益肝降脂方治疗非酒精性脂肪肝患者中的作用。方法选取2016年3月~2017年9月我院门诊接受益肝降脂方治疗非酒精性脂肪肝且自愿参加本研究患者136例,采用随机数字表法将其分为对照组、干预组,每组68例。治疗6个月,比较两组患者的肝脏B超、血脂、肝功能及体重、腰围变化。结果两组患者干预后的B超评分、腰围、体重均低于干预前,差异有统计学意义(P<0.05);两组患者干预后B超评分、腰围、体重的比较,差异无统计学意义(P>0.05)。两组患者干预后丙氨酸氨基转移酶(ALT)、三酰甘油(TG)、总胆固醇(CHOL)水平均低于干预前,差异有统计学意义(P<0.05);两组患者干预后ALT、TG、CHOL水平的比较,差异无统计学意义(P>0.05)。结论实施优质护理干预能显著提升益肝降脂方治疗非酒精性脂肪肝的效果。Objective To explore the effect of high quality nursing on treating patients with nona-lcoholic fatty liver with Yigan Jiangzhi prescription. Methods A total of 136 patients with nonalcoholic fatty liver treated by Yigan Jiangzhi recipe from March 2016 to September 2017 were selected and randomly divided into control group and intervention group with 68 cases in each group. After 6 months of treatment, the changes of liver B excess, blood fat, liver function, body weight and waist circumference in the two groups were compared. Results The B ultrasound score,waist circumference and body weight of the two groups after the intervention were lower than those before the intervention,and the differences were statistically significant（P〈0.05）. There was no significant difference between the two groups in B-ultrasound score,waist circumference and weight after intervention（P〉0.05）. After the intervention, the levels of alanine aminotransferase（ALT）, triglyceride（TG） and total cholesterol（CHOL） in the two groups were lower than those before the intervention, and the differences were statistically significant（P〈0.05）. There was no significant difference in ALT, TG and CHOL levels between the two groups after intervention（P〉0.05）. The total effective rate of the intervention group was significantly higher than that of the control group（P〈0.05）. Conclusion The high quality nursing intervention can significantly improve the efficacy of Yigan Jiangzhi prescription in the treatment of non-alcoholic fatty liver disease.

关 键 词：非酒精性肝硬化 益肝降脂方 优质护理 脂肪肝 

分 类 号：R575[医药卫生—消化系统]