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目的探讨肥胖型大学生脂肪肝患者在药物和运动干预下的影响,为通过运动康复,最终脱离药物治疗脂肪肝的康复治疗途径提供参考。方法将2012年陕西省疾病预防控制中心和西安医学院校医院随诊的94例肥胖型大学生脂肪肝患者被随机分为运动组1(32名)、运动组2(32名)和对照组(30名),对照组仅服用少量常规脂肪肝药物治疗外,不参加任何体育锻炼;运动组1在每日服用相同的药物康复基础上增加运动干预,进行28周的运动疗法;运动组2不服用药物治疗仅采用相同于运动组1的运动干预。28周后分别通过观察指标来分析疗效。结果治疗后运动组1、2与对照组比较,运动组患者血液和肝功能指标差异均明显改善。运动组1治疗有效率为96.91%,运动组2治疗总有效率为8.2%,对照组总有效率为66.73%,差异有统计学意义(P<0.05);无药物仅有运动组2与运动组1比较,差异无统计学意义,康复效果较为明显。结论长时间的体育运动疗法对肥胖型大学生脂肪肝患者康复有促进作用,可为脱离药物治疗的脂肪肝康复治疗途径提供参考。
Objective To investigate the effect of drug-induced exercise on fatty liver patients with obese college students, and to provide a reference for the rehabilitation treatment of fatty liver through exercise rehabilitation and ultimately drug-free treatment. Methods A total of 94 obese patients with fatty liver who were followed up by Shaanxi Center for Disease Control and Prevention and Xi’an Medical College Hospital in 2012 were randomly divided into exercise group 1 (32), exercise group 2 (32) and control group 30). The control group took only a small amount of conventional fatty liver drug treatment, did not participate in any physical exercise; exercise group 1 in the daily medication with the same drug rehabilitation based on the increase of exercise intervention, 28 weeks of exercise therapy; exercise group 2 did not take Medication uses only the same exercise intervention as exercise group 1. After 28 weeks, respectively, through the observation of indicators to analyze the efficacy. Results Compared with the control group, the blood group and liver function index of the exercise group were significantly improved after treatment. The effective rate of exercise group 1 was 96.91%, the total effective rate of exercise group 2 was 8.2% and that of control group was 66.73% (P <0.05). There was no difference between exercise group 2 and exercise group Group 1, the difference was not statistically significant, the rehabilitation effect is more obvious. Conclusion Long-term sports therapy can promote the rehabilitation of obese students with fatty liver and provide a reference for rehabilitation treatment of fatty liver without drug treatment.