肝脂汤配合饮食护理对非酒精性脂肪肝患者的影响

Effect of liver fat soup combined with diet nursing on prognosis of patients with nonalcoholic fatty liver disease

目的探讨肝脂汤配合饮食护理对非酒精性脂肪肝患者的影响。方法选取2013年1—12月收治于上海中医药大学附属普陀医院的非酒精性脂肪肝患者60例,随机分为肝脂汤组和肝脂汤配合饮食护理组各30例,观察两组患者1个疗程后血脂指标、肝功能指标、体质指数(BMI)、B超影像及患者不适主症情况。结果服用肝脂汤后两组患者的血脂指标、肝功能指标、BMI、B超影像及患者不适主症等均有改善,但观察组改善更为明显,两组比较差异有统计学意义(P<0.05)。结论肝脂汤配合饮食护理可提高非酒精性脂肪肝患者的治疗效果,有利于促进患者康复,提高患者的生活质量。

Objective To investigate the effect of liver fat soup combined with diet nursing on the prognosis of nonalcoholic fatty liver disease （NAFLD） with deficiency of yin and blood. Methods A total of 60 NAFLD cases with deficiency of yin and blood in Puotuo Hospital, Shanghai University of Traditional Chinese Medicine were selected from January to December 2013. They were randomly and equally divided into the liver fat soup group and the liver fat soup combined with diet nursing group. The blood lipids, liver function, body mass index （BMI）, B ultrasound imaging and main symptoms of discomfort were observed. The therapeutic effects were further compared. Results After the application of liver fat soup the blood lipid, liver function, BMI, B ultrasound imaging and main symptoms of discomfort were significantly improved （ P 〈 O. 05 ）. The free fat acid （ FFA）, triglyceride （TG）, alanine aminotransferase （ ALT）, BMI, aspartate aminotransferase （AST） in the liver fat soup combined with diet nursing group were significantly improved compared with the liver fat soup group （P 〈 0.05 ）. Conclusion The liver fat soup combined with diet nursing can improve the prognosis of NAFLD patients with deficiency of yin and blood, promote rehabilitation and improve the quality of life.