付延玉　张本菊　张英　杨婷婷

[摘要]目的 探讨优质护理在益肝降脂方治疗非酒精性脂肪肝患者中的作用。方法 选取2016年3月～2017年9月我院门诊接受益肝降脂方治疗非酒精性脂肪肝且自愿参加本研究患者136例，采用随机数字表法将其分为对照组、干预组，每组68例。治疗6个月，比较两组患者的肝脏B 超、血脂、肝功能及体重、腰围变化。结果 两组患者干预后的B超评分、腰围、体重均低于干预前，差异有统计学意义（P<0.05）；两组患者干预后B超评分、腰围、体重的比较，差异无统计学意义（P>0.05）。两组患者干预后丙氨酸氨基转移酶（ALT）、三酰甘油（TG）、总胆固醇（CHOL）水平均低于干预前，差异有统计学意义（P<0.05）；两组患者干预后ALT、TG、CHOL水平的比较，差异无统计学意义（P>0.05）。结论 实施优质护理干预能显著提升益肝降脂方治疗非酒精性脂肪肝的效果。

[关键词]非酒精性肝硬化；益肝降脂方；优质护理；脂肪肝

[中图分类号] R575 [文献标识码] A [文章编号] 1674-4721（2018）7（b）-0170-03

[Abstract] Objective To explore the effect of high quality nursing on treating patients with nona-lcoholic fatty liver with Yigan Jiangzhi prescription. Methods A total of 136 patients with nonalcoholic fatty liver treated by Yigan Jiangzhi recipe from March 2016 to September 2017 were selected and randomly divided into control group and intervention group with 68 cases in each group. After 6 months of treatment， the changes of liver B excess， blood fat， liver function， body weight and waist circumference in the two groups were compared. Results The B ultrasound score，waist circumference and body weight of the two groups after the intervention were lower than those before the intervention， and the differences were statistically significant （P<0.05）. There was no significant difference between the two groups in B-ultrasound score，waist circumference and weight after intervention （P>0.05）. After the intervention， the levels of alanine aminotransferase （ALT）， triglyceride （TG） and total cholesterol （CHOL） in the two groups were lower than those before the intervention， and the differences were statistically significant （P<0.05）. There was no significant difference in ALT， TG and CHOL levels between the two groups after intervention （P>0.05）. The total effective rate of the intervention group was significantly higher than that of the control group （P<0.05）. Conclusion The high quality nursing intervention can significantly improve the efficacy of Yigan Jiangzhi prescription in the treatment of non-alcoholic fatty liver disease.

[Key words] Non-alcoholic fatty liver disease； Yigan Jiangzhi prescription； High quality nursing； Fatty liver disease

非酒精性脂肪肝（NAFLD）是以肝细胞脂肪变性和脂质贮积为特征的一种临床病理综合征[1]。随着生活水平的提高，饮食结构改变及预防保健措施相对滞后，我国脂肪肝发病率逐年上升[2]。NAFLD是导致无症状性转氨酶升高的首要病因，被认为是隐源性肝硬化的常见病因[3]。目前该病已成为严重损害人们身体健康的一大因素，然而现代医疗对其还没有确实有效的治疗方法，因此该病的治疗已成为了一大难题。中医中药是我国的国粹，不少传统的中药药方在治疗非酒精性脂肪肝中有着令人振奋的效果。益肝降脂方就是其中一个对治疗非酒精性脂肪肝疗效较好的中药名方[4-5]。临床及实验研究结果均表明，该方对酒精性及非酒精性脂肪肝具有良好的治疗效果。……