非酒精性脂肪肝老年人体质辨识及中医治未病服务对其治疗效果探讨

doi:10. 20223 / j. cnki. 1000-8535. 2026. 01. 009

摘要/Abstract

摘要： 目的研究非酒精性脂肪肝老年人体质辨识及中医治未病服务对其治疗效果。方法选择2023年1月—2024年1月贵州中医药大学第一附属医院就诊的非酒精性脂肪性肝病老年患者70例作为研究对象,根据患者就诊顺序分配为两组。对照组35例,接受常规干预;观察组35例,其在对照组基础上予中医“治未病”理念下体质辨识干预模式。比较两组干预效果,以及干预前后血脂水平、肝功能、生存质量的变化。结果观察组的治疗总有效率91.43%,高于对照组的68.57%,差异有统计学意义（P<0.05）。治疗前,两组各项血脂水平、肝功能、慢性肝病问卷（CLDQ）评分比较,差异无统计学意义（P>0.05）;治疗后,两组各项血脂水平优于治疗前,各项肝功能低于治疗前,CLDQ评分高于治疗前,差异有统计学意义（P<0.05）;治疗后,观察组的各项血脂水平优于对照组,各项肝功能低于对照组,CLDQ评分高于对照组,差异有统计学意义（P<0.05）。结论对非酒精性脂肪性肝病老年患者而言,中医“治未病”理念下体质辨识干预服务能够提高其治疗效果,调节血脂水平的异常,改善肝功能及生存质量,值得应用。

关键词: 非酒精性脂肪性肝病, 老年, 中医“治未病”理念, 体质辨识干预, 血脂水平, 肝功能

Abstract: Objective To study the physical identification of nonalcoholic fatty liver in the elderly and the therapeutic effect of traditional Chinese medicine on preventing disease before arising. Methods A total of 70 elderly patients with nonalcoholic fatty liver disease treated in the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 2023 to January 2024 were selected as the study objects.Patients were assigned to two groups,control group（35 cases）received routine intervention,observation group（35 cases）received physical identification intervention based on preventing disease before arising of traditional Chinese medicine additionally.The effect of intervention and the changes of blood lipid levels,liver function and quality of life before and after intervention were compared between the two groups. Results The total effective rate of the observation group was 91.43%,higher than that of the control group（68.57%）,the difference was statistically significant（P<0.05）.Before treatment,there were no significant differences in blood lipid levels,liver function and CLDQ scores between the two groups（P>0.05）.After treatment,the levels of blood lipids were better than those before treatment,liver function was lower than that before treatment,CLDQ score was higher than that before treatment,the difference was statistically significant（P<0.05）.After treatment,the blood lipid levels of the observation group was better than that of the control group,the liver function was lower than that of the control group,and the CLDQ score was higher than that of the control group,with statistical significance（P<0.05）. Conclusions For elderly patients with nonalcoholic fatty liver disease,the intervention service of body constitution identification under the concept of preventing disease before arising of traditional Chinese medicine can improve the therapeutic effect,regulate the abnormal blood lipid levels,improve liver function and quality of life,which is worthy of application.

Key words: nonalcoholic fatty liver disease, elderly patients, the concept of preventing disease before arising of TCM, physical identification intervention, blood lipid level, liver function

李祥芸, 寇达龙, 朱贵川, 付琴, 谌洪俊. 非酒精性脂肪肝老年人体质辨识及中医治未病服务对其治疗效果探讨[J]. 广州医药, 2026, 57(1): 63-69.

LI Xiangyun, KOU Dalong, ZHU Guichuan, FU Qin, CHEN Hongjun. Identification of the constitution of the elderly with nonalcoholic fatty liver disease and discussion on the therapeutic effect of preventing disease before arising[J]. Guangzhou Medical Journal, 2026, 57(1): 63-69.

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