运动疗法治疗脂肪肝92例

Exercise Therapy in Treating 92 Cases of Fatty Liver

目的:观察运动疗法对中、轻度脂肪肝患者康复疗效的影响。方法:将社区脂肪肝患者92例随机分为对照组、试验组各46例,2组患者均服用少量常规降血脂药物治疗,试验组同时进行饮食、运动干预。采集患者治疗前后BMI、血压,血清酶学指标(ALT、AST、GGT)水平、HOMA值、血脂、B超影像学资料进行分析,同时观察2组患者调脂效果及临床疗效。结果:试验组血脂各项指标与治疗前比较均有明显改善,差异有统计学意义(P<0.05);对照组TG,HDL-C与治疗前比较差异有统计学意义(P<0.05);治疗后试验组各项指标与对照组比较差异有统计学意义(P<0.05)。治疗后试验组肝功能各项指标均有明显降低,与治疗前相比,差异有统计学意义(P<0.05);对照组仅ALT,ALP与治疗前比较差异有统计学意义(P<0.01);治疗后治疗组各项指标与对照组比较,差异有统计学意义(P<0.05)。结论:体育运动疗法对中、轻度脂肪肝患者病情的康复有促进作用。

Objective：To observe the effects of exercise therapy on the rehabilitation of the patients with fatty liver in moderate or mild degrees. Methods：All 92 patients were randomized into the control group and the experi-ment group. Both groups took small amounts of drugs for reducing blood lipids, the experiment group received diet and exercise intervention. BMI, blood pressure, the levels of serum enzymes including ALT, AST, GGT, HOMA, blood lipid, B ultrasound radiological information of the patients before and after treating were collected and ana-lyzed, clinical effects and the effects of reducing blood lipid in both groups were observed. Results：The difference had statistical meaning when the indexes of blood lipid after treating were improved more significantly than those before treating in the experiment group （P＆lt;0.05）;the difference had statistical meaning when TG and HDL-C after treating were compared with these before treating in the control group （P＆lt;0.05）;the difference had statistical mean-ing when the indicators of the experiment group were compared with these of the control group after treating （P＆lt;0.05）. All the indexes of liver function in the experiment group were decreased significantly after treating, the difference had statistical meaning when they were compared with those before treating （P＆lt;0.05）;the difference had statistical meaning when ALT and ALP after treating in the control group were compared with these before treating （P＆lt;0.01）;the difference had statistical meaning when the indexes of the experiment group were compared with these of the control group after treating （P＆lt;0.05）. Conclusion：Exercise therapy could promote the rehabilitation of the patients with fatty liver in moderate or mild degrees.