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目的探讨对非酒精性脂肪肝(NAFLD)患者进行社区干预的效果。方法将200例NAFLD患者随机分为对照组和干预组各100例,对干预组实施针对性的家庭式健康教育,成立社区脂肪肝俱乐部以及生活行为方式干预、用药指导等综合社区干预,对照组没有采取干预措施。1年后评估两组患者健康知识掌握情况、饮食控制情况及生化指标。结果干预组在NAFLD基本知识掌握和控制NAFLD行为的变化以及肝功能、血脂及肝脏B超形态学改变与对照组比较差异有统计学意义(P<0.01)。结论提示对NAFLD患者采取干预方法,帮助患者建立良好的生活行为方式,可为NAFLD的防治提供简便而有效的方法。
Objective To explore the effect of community intervention on patients with non-alcoholic fatty liver disease (NAFLD). Methods 200 cases of NAFLD patients were randomly divided into control group and intervention group of 100 cases, the intervention group to implement targeted family health education, the establishment of community fatty liver club and lifestyle interventions, medication guidance and other community intervention, control group No interventions were taken. One year after the two groups of patients to assess the health knowledge, diet control and biochemical indicators. Results The changes of NAFLD control and liver function, blood lipids and liver B-mode morphological changes in the intervention group were significantly different from those in the control group (P <0.01). Conclusions suggest that intervention for NAFLD patients to help patients establish a good lifestyle behavior, for the prevention and treatment of NAFLD provides a simple and effective method.