中医社区综合干预非酒精性脂肪性肝病60例

Sixty Cases of Non-Alcoholic Fatty Liver Treated with TCM Community Comprehensive Intervention

目的:观察中医社区综合干预方法在非酒精性脂肪性肝治疗中的意义。方法:将120例非酒精性单纯性脂肪肝患者分为对照组和干预组各60例,对照组予控制饮食、加强运动建议,干预组采用中医健康教育、中药饮片、耳针、运动干预等社区综合干预,1 a后采集调查问卷及BMI指数、三酰甘油、总胆固醇、空腹血糖、B超等资料,并进行统计分析。结果:干预后,观察组知晓率为67.3%,较干预前显著提升(P=0.000);对照组知晓率为33.9%,与1 a前比较差异无统计学意义(P=0.119),观察组知晓率显著高于对照组(P=0.000);观察组60例非酒精性脂肪肝患者三酰甘油、空腹血糖的水平及体质量指数(Body mass index,BMI)较干预前均显著降低(P=0.002,0.006,0.042),而总胆固醇的水平较干预前亦有所降低,但降低无统计学意义(P=0.543);B超结果改善率为61.7%,明显高于对照组8.3%,有显著统计学意义(P=0.000)。结论:中医社区综合干预有助于提升患者关于非酒精性脂肪肝的知晓率,对轻中度非酒精性单纯性脂肪肝有良好治疗作用。

Objective： To observe the meaning of TCM community comprehensive intervention in treating non-alcoholic fatty liver. Methods： One hundred and twenty patients with non-alcoholic simple fatty liver were divided into the control group and the intervention group, with 60 cases in each group. The ones in the control group were given suggestions such as controlling diet and increasing physical exercises, while the ones in the intervention group were given comprehensive intervention such as TCM health education, Chinese medicinal slices, auricular acupuncture therapy, doing sports, etc. Then such materials as questionnaire, BMI index, triacylglycerol, total cholesterol, fasting blood glucose, type-B ultrasonic were collected and statistically analyzed. Results： After the intervention, the awareness rate of the observation group was 67.3% , which was greatly increased compared with before the treatment（ p =0. 000）. While the awareness rate of the control group was 33.9%. And the difference compared with before 1 a had no statistical significance （ P = 0.119）. The awareness rate of the observation group was much higher than that of the control group（P =0. 000）. Triacylglycerol, fasting blood glucose level, and body mass index of the observation gn）up were all greatly decreased （P = 0. 002,0. 006,0. 042 ） ; The total cholesterol level of the observation group was also decreased compared with before the treatment, hut had no statistical significance （P =0. 543 ）. The improved rate of type-B ultrasonic of the ob- servation group was 61.7% , which was much higher than 8.3% of the control group and had obvious statistical significance （P = 0. 000 ）. Conclusion： TCM community comprehensive intervention can help patients with non-alcoholic fatty liver disease in- crease the awareness rate, and has good effect on mild and moderate non-alcoholic fatty liver disease.