健康教育运动与营养干预对超声诊断的中老年脂肪肝患者的效果研究.doc

健康教育、运动与营养干预对超声诊断的中老年脂肪肝患者的效果研究 摘要 目的：探讨健康教育、运动与营养干预在预防和控制脂肪肝发生发展中的作用，为脂肪肝的早期非药物治疗提供依据。方法：超声诊断的75例中老年脂肪肝患者进行健康教育，并实施个体化的运动以及营养干预措施。结果：脂肪肝经健康教育后，建立了合理的饮食习惯和生活方式，1年后轻度脂肪肝患者的TG、TC、LDL较干预前均减低，而HDL较干预前升高，差异具有统计学意义(P0.05)。中度脂肪肝患者的TG、TC较干预前均减低(P0.05)，而LDL也低于干预前， HDL高于干预前，但差异不具有统计学意义(P0.05)。重度脂肪肝患者的TG、TC、LDL、HDL干预后均有所变化，但不具有统计学意义(P0.05)。超声诊断75例脂肪肝患者1年后有29例消除脂肪肝，有13例转变成轻度脂肪肝。结论：对脂肪肝患者给与相应的健康教育和生活方式适当的干预??可防治脂肪肝。 关键词 脂肪肝；健康教育；运动；营养；干预 Effect of health education, exercise and nutrition intervention on elderly patients with fatty liver diagnosed with Ultrasound Abstract Objective: To investigate the role of health education, exercise and nutrition interventions in the prevention and control of fatty liver and provide the basis on the early non-drug therapy of fatty liver. Method: 75 elderly patients with fatty liver diagnosed with ultrasound were carried with health education, individualized exercise and nutrition interventions. Results: The fatty liver patients established a reasonable diet and lifestyle after the health education, One year later, TG, TC and LDL in mild fatty liver were reduced and HDL were higher compared with before intervention (P 0.05). TG, TC were lower in moderate fatty liver than before intervention(P 0.05),while LDL is also lower and HDL is higher than before the intervention, but there was not statistically significant (P 0.05).TG, TC, LDL, HDL has been changed in severe fatty liver after the intervention, but there was not statistically significant (P 0.05) . 29 patients among 75 live cases eliminated, 13 cases changed into mild fatty liver. Conclusion: Appropriate health education and appropriate lifestyle intervention can prevent fatty liver. Key words fatty liver; health education; movement; nutrition; intervention 近年来，随着生活水平的提高和饮食结构的改变，我国脂肪肝的发病率已成为较严重的医学和社会问题，而且资料显示随着年龄的增高，发病率有上升趋势[1]。由于脂肪肝的病理改变是可逆转的[2]，目前国内外对脂肪肝特别是轻中度所推荐的一线治疗方案为饮食和生活方式改变[3]。为了更好地提高中老年人群的生活质量，探讨生活方式在预防脂肪肝发生发展中的作用，我们对经过超声诊断的75例中老年脂肪肝患者实施了健康教育、运动与营养干预，以探讨运用干预方式对脂肪肝的有效性。 资料与方法 1.1