摘要
目的研究强化健康教育在非酒精性脂肪性肝病(NAFLD)治疗中的作用。方法将62例NAFLD患者随机分为强化健康教育组和对照组。两组都给予生活方式指导,血清转氨酶升高者给予保肝药物及对症等治疗。强化健康教育组在上述治疗的基础上,每2周左右通过手机短信或电话等方式对强化健康教育组患者进行督促和鼓励,强调改变生活方式的重要性,指导合理的饮食和运动习惯。6个月后,复查患者的体质量、腰围、肝功能试验、血糖、血脂、腹部超声等。结果 6个月后,2组患者的体质量、腰围、肝功能试验、血糖、血脂、腹部超声等都有不同程度的好转,强化健康教育组患者的疗效更为显著。结论 NAFLD的发病与患者的生活方式密切相关,对患者进行生活方式指导的强化健康教育有利于患者的恢复。
Objective To study the role of enhanced health education in the management of nonalcoholic fatty liver disease（NAFLD）.Methods Sixty-two patients with NAFLD were randomized into enhanced health education group and control group.Essential life-style guidance was given to all patients,and hepatocyte protective agents and symptomatic treatment were added to patients with elevated amino transferase levels.Besides above measures,patients in enhanced health education group were urged and encouraged additionally by call and/or information through mobile telephones every 2 weeks,emphasizing the importance of life-style modification and instructing the healthy habits of diets and exercises.After 6 months,the patients in both groups were re-examined for the items including body mass,waist circumference,liver function tests,blood glucose and lipids as well as abdominal sonography.Results After 6 months,all the items including body mass,waist circumference,liver function tests,blood glucose and lipids as well as abdominal sonography were improved in both groups.However,the efficacy was more significant in enhanced health education group compared with control group.Conclusion The pathogenesis of NAFLD was closely related to unhealthy life-style of the patients.Guidance of healthy life-style by enhanced health education was efficient for the patients＇ recovery.
出处
《临床和实验医学杂志》
2011年第3期174-175,178,共3页
Journal of Clinical and Experimental Medicine
关键词
非酒精性脂肪性肝病
健康教育
治疗
Nonalcoholic fatty liver disease
Health education
Treatment
