长远航期间运动和饮食干预对非酒精性脂肪性肝病艇员的效果评价  

Efficacy evaluation on the effects of exercise and dietary intervention on non-alcoholic fatty liver disease in submariners during prolonged voyage

作　　者：徐涛[1] 夏冰[2] 刘祖秋[3] 赵宏[1] Xu Tao;Xia Bing;Liu Zuqiu;Zhao Hong(No.113 Hospital,CPLA,Ningbao 315040,China)

机构地区：[1]解放军第一一三医院创伤骨科,浙江省宁波315040 [2]解放军第一一三医院特诊科,浙江省宁波315040 [3]解放军第一一三医院心内科,浙江省宁波315040

出　　处：《中华航海医学与高气压医学杂志》2018年第3期166-168,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的探讨运动联合饮食干预对长远航患有轻中度非酒精性脂肪性肝病（nonalcoholic fatty liver disease，NAFLD）艇员的效果。方法从第26批亚丁湾护航编队补给舰全体艇员中，根据超声诊断选出22例患有轻至中度NAFLD的艇员。长远航8个月期间，进行运动及饮食干预，分别于出海前（0个月）、长航中期（4个月）、长航末期（8个月）观察22例艇员肝脏超声影像、体质量、体脂率、身体质量指数（body mass index，BMI）及肝功能等指标变化。结果在进行运动和饮食干预后，在长航中期（4个月）、长航末期（8个月），可见患者体质量、体脂率、BMI、谷丙转氨酶（ALT）、谷草转氨酶（AST）均有明显下降，差异有统计学意义（P〈0.05）。肝脏超声形态学显示，22例NAFLD艇员全部好转（100%）。结论长远航期间，合理运动及饮食干预对NAFLD艇员有明显的作用，可以促进艇员身体健康。ObjectiveTo investigate the effects of exercise and dietary intervention on mild and moderate non-alcoholic fatty liver disease （NAFLD） in submariners during prolonged voyage.MethodsTwenty-two submariners diagnosed to have mild or moderate NAFLD by ultrasonography from supply ship crew of the 26th escort vessel deployed in the Gulf of Aden were selected as research subjects. Exercise and dietary intervention was implemented during the prolonged escort mission for 8 months. Changes in ultrasonographic imaging, body weight, body fat rate, body mass index （BMI） and liver function were closely observed before deployment, and 4 and 8 months after prolonged deployment.ResultsAfter exercise and dietary intervention such indexes as body weight, body fat rate, BMI, alanine aminotransferase （ALT） and aspartate aminotransferase （AST） all decreased significantly, when detections were made during the mid stage （4 months） and end stage （8 months）, and statistical differences could be seen when comparisons were made（P〈0.05）. Morphology by ultrasonography indicated that 22 cases of NALFD all improved significantly, with an improvement rate of 100%.ConclusionsDuring prolonged deployment at sea, proper exercise and dietary intervention could produce good effects on the submariners with NAFLD, and help to improve the health status of submariners.

关 键 词：长远航 非酒精性脂肪肝病 干预 运动 饮食 

分 类 号：R835.2[医药卫生—航空、航天与航海医学]