个体化营养治疗对非酒精性脂肪肝患者的影响

Effect of Individualized Nutritional Management in Patients With Nonalcoholic Fatty Liver Disease

目的观察个体化营养治疗对非酒精性脂肪性肝病(NAFLD)患者BMI和Fibro Touch衰减指数的影响。方法选择2016年4月—2017年2月在我院确诊为NAFLD患者120例,随机分为个体化营养治疗组60例,给予个体化营养治疗3个月,常规健康饮食宣教组60例,给予脂肪肝常规健康饮食宣教3个月。同时监测体质指数(BMI)、肝脏超声影像和瞬时弹性成像检测(Fibro Touch)脂肪衰减指数。结果治疗3个月后,个体化营养治疗组前后对照BMI、Fibro Touch脂肪衰减指数明显下降,差异有统计学意义(P<0.05);个体化营养治疗组较健康饮食宣教组对照BMI、Fibro Touch检测脂肪衰减指数差异有统计学意义(P<0.05)。结论 NAFLD患者治疗中,个体化的营养治疗有助于提高治疗依从性及健康饮食的执行力度,对降低脂肪肝患者的体质量及减轻脂肪肝程度有良好的效果。

Objective To observe the effect of individualized nutritional therapy on BMI and FibroTouch attenuation index in patients with non-alcoholic fatty liver disease （NAFLD）. Methods From April 2016 to February 2017, 120 patients with definitely diagnosed NAFLD in our center were selected and equally divided into individualized nutrition treatment group, given individualized nutrition treatment for 3 months and conventional fatty liver health diet mission group, given normal healthy diet of fatty liver for 3 months. Body mass index （BMI）, liver ultrasound imaging and FibroTouch attenuation index were monitored. Results BMI and FibroTouch attenuation index signifcantly decreased before and after in the individualized nutrition therapy group （P 〈 0.05）, the difference was statistically signifcant. Compared with healthy diet mission group, BMI and FibroTouch attenuation index showed signifcant difference （P 〈 0.05）, the difference was statistically significant. Conclusion Individualized nutritional therapy helps to improve the compliance of treatment and the implementation of healthy diet, and has a good effect on reducing the body weight of patients with fatty liver and reducing the degree of fatty liver in NAFLD patients.