Effect of diet and exercise care in patients with nonalcoholic fatty liver disease
非酒精性脂肪肝患者的饮食和运动护理的效果

摘要

目的 探讨运动护理、饮食护理在非酒精性脂肪肝（NAFLD）患者中的应用效果。方法 选取2022年4月至2023年9月收治的NAFLD患者86例，随机分为观察组（饮食与运动护理）和对照组（常规护理）各43例，对比效果。结果 观察组体质量（67.30±2.79）kg/m2、甘油三酯（0.83±0.26）mmol/L、总胆固醇（5.25±0.38）mmol/L低于对照组（74.41±3.11）kg/m2、（1.76±0.19）mmol/L、（5.83±0.15）mmol/L；观察组 AST水平（82.55±6.60）U/L、ALT水平（17.62±10.61）U/L、ALP水平（125.40±12.20）U/L低于对照组（108.35±8.70）U/L、（28.98±12.21）U/L、（165.31±17.65）U/L；观察组坚持锻炼88.37%、合理进食90.70%、控制饮食86.05%、控制体重79.07%高于对照组62.79%、67.44%、69.77%、60.47%（均P<0.05）。结论 NAFLD患者给予饮食和运动护理可有效改善其身体指标即肝功能，提升依从性，效果良好。

Abstract

Objective To explore the application effect of exercise care and dietary care in patients with non-alcoholic fatty liver disease (NAFLD).
Methods 86 NAFLD patients admitted from April 2022 to September 2023 were selected and randomly divided into 43 patients of observation group (diet and exercise care) and control group (usual care).
Results The group mass (67.30±2.79) kg/m2, triglyceride (0.83±0.26) mmol/L, total cholesterol (5.25±0.38) mmol/L was lower than the control group (74.41±3.11) kg/m2, (1.76±0.19) mmol/L, (5.83±0.15) mmol/L; The observation group AST level (82.55±6.60) U / L, ALT level (17.62±10.61) U / L, ALP level (125.40±12.20) U / L was lower than the control group (108.35±8.70) U / L, (28.98±12.21) U / L, (165.31±17.65) U / L; The observation group kept exercise 88.37%, reasonable 90.70%, controlled diet 86.05%, and weight control 79.07% higher than the control group 62.79%, 67.44%, 69.77% and 60.47% (All P <0.05).
Conclusion   Diet and exercise care for NAFLD patients can effectively improve their physical index, namely liver function, and improve compliance with good results.