综合医护措施干预非酒精性脂肪性肝病临床研究
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R248;R575.5

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Clinical Study on Comprehensive Medical Nursing Measures Intervening Non-Alcoholic Fatty Liver Disease
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    摘要:

    目的:观察在现代医学常规治疗和护理的基础上给予中医护理措施干预非酒精性脂肪性肝病的临床效果。方法:将108 例非酒精性脂肪性肝病湿浊内停证患者随机分为对照组和观察组各54 例。2 组患者均服用盐酸二甲双胍片、多烯磷脂酰胆碱胶囊、甘草酸二铵胶囊,并给予健康宣教、饮食指导、运动指导等现代医学综合护理措施进行干预。观察组加予中医护理措施,包括饮食指导、茶饮调理、耳穴贴压。2 组疗程均为3 个月。治疗前、治疗3 个月后评定症状评分,检测谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆固醇(TC)、甘油三酯(TG),记录以上指标异常情况,进行B 超检查、评价体质量指数(BMI) 与疗效。结果:治疗3 个月后,观察组B 超疗效优于对照组(P<0.05)。2 组症状积分及BMI 均较治疗前降低(P<0.01)。观察组症状积分低于对照组(P<0.01);2 组BMI 比较,差异无统计学意义(P>0.05)。2 组ALT、AST、TC、TG 的异常率均较治疗前下降(P<0.01),观察组4 项指标的异常率均低于对照组(P<0.05)。结论:在现代医学常规治疗和护理的基础上给予中医护理措施干预非酒精性脂肪性肝病患者,可进一步减轻临床症状,改善肝功能,调节脂代谢,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect on nursing measures of Chinese medicine intervening non-alcoholic fatty liver disease based on routine treatment and nursing of modern medicine. Methods:A total of 108 cases of patients with non- alcoholic fatty liver disease of retention of dampness turbidity syndrome were randomly divided into the control group and the observation group, 54 cases in each group. Both groups were given the oral administration of metformin hydrochloride tablets, polyene phosphatidyl chline capsules, and diammonium glycyrrhizinate capsules, as well as comprehensive nursing measures of modern medicine such as health education,diet guidance,and exercise guidance. The observation group was additionally given nursing measures of Chinese medicine, including diet guidance, recuperation by herbal tea, and auricular point pressing therapy. Both groups were treated for three months. Before treatment and after three- month treatment,symptom score was assessed. Alanine aminotransferase(ALT),aspartate aminotransferase(AST), total cholesterol(TC),and triglyceride(TG) were detected;the abnormal condition of the indexes above was recorded. Type- B ultrasonography was conducted, body mass index(BMI) and effect were evaluated. Results: After three- month treatment,the curative effect of type-B ultrasonography in the observation group was better than that in the control group (P<0.05). Symptom scores and BMI in the two groups were decreased when compared with those before treatment(P< 0.01). Symptom score in the observation group was lower than that in the control group(P<0.01). There was no significant difference being found in the comparison of BMI between the two groups(P>0.05). The abnormal rates of ALT,AST,TC, and TG in the two groups were decreased when compared with those before treatment(P<0.01),the abnormal rates of the four indexes in the observation group were lower than those in the control group(P<0.05). Conclusion: In intervention of patients with non-alcoholic fatty liver disease,nursing measures of Chinese medicine on the basis of routine treatment and nursing of modern medicine can further relieve clinical symptoms,improve the liver function,regulate lipid metabolism,and enhance clinical effect.

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刘建华,李海涛.综合医护措施干预非酒精性脂肪性肝病临床研究[J].新中医,2021,53(8):179-182

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  • 在线发布日期: 2021-04-29
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