晚餐后快走运动对社区脂肪肝干预效果探究.doc

晚餐后快走运动对社区脂肪肝干预效果探究摘 要 目的： 探讨晚餐后快走对脂肪肝患者的干预效果。方法：选择2010年体检确诊的新发脂肪肝患者182例，随机分为干预组和对照组，对照组进行常规健康宣教和合理膳食指导；干预组在上述干预的基础上，社区医生指导患者进行晚餐后快走运动，干预时间3个月，比较干预前后患者脂肪肝分级、血脂和体质指数的变化。结果：干预组血脂异常、超声诊断为脂肪肝的人数比干预前减少，与对照组比较差异有统计学意义(P＜0.01)，而超重肥胖人数减少不明显，两组比较无统计学差异。结论：晚餐后快走可改善脂肪肝病变程度、有利于改善高血脂，是一种简便易行、适宜社区推广的脂肪肝运动疗法。 关键词 脂肪肝 高脂血症 体质指数 中图分类号：R575.5 文献标识码：A 文章编号：1006-1533（2012）04-0035-03 Study on the effect of the fast walking sport after dinner on the interference with fatty liver SHUN Li-yan, TAO Hai-qi, SHANG Jiu-hua （Pengpu Town Community Health Service Care Centre of Zhabei District, Shanghai, 200072） ABSTRACT Objective: To explore the effect of the fast walking sport after dinner on the interference with fatty liver. Method: 182 new cases with fatty liver diagnosed in 2010 screening were chosen and divided into interference group and control group at the random sample. The control group was given health education and reasonable diet guidance. The interference group had fast walking sport after dinner under the guidance of the community doctors based on the method of the control group. After three months interference, the changes of the fatty liver grading, blood lipid and constitution indicators were compared. Results: The number of the people with abnormal blood lipid and fatty liver diagnosed with ultrasound was reduced and the difference had statistical significance compared with those in the control group(P0.01). But the number of the overweight people was not obviously reduced and comparison of two groups had no statistical difference. Conclusion: Fast walking after dinner can improve the progress of the degree of fatty liver and is of benefit to reducing the high blood lipid, which is a simple, easy and appropriate physical therapy for the fatty liver in the community. KEY WORDS fatty liver; hyperlipemia; constitution indicators 2009年上海市闸北区开展“健康闸北2020”工程，闸北区彭浦镇社区卫生服务中心对辖区内常住居民家庭进行入户调查，共完成5 782例居民健康体检和健康档案的建立，发现非酒精性脂肪肝病患1 231例，患病率为21.3%[1]。 随着肥胖和2型糖尿病的高