【摘要】 目的探讨行为干预对长期过度饮酒者脂肪肝影响的超声变化。方法对70例经超声诊断为酒精性脂肪肝的长期大量饮酒者,观察不同饮酒等级脂肪肝程度的改变,并研究行为干预前后不同程度脂肪肝的超声图像及各参数的改变。结果饮酒等级<600 g/(d.年)者,其中、重度脂肪肝患病率显著低于≥600g/(d.年)者,而轻度脂肪肝患病率显著高于≥600g/(d.年)者(P<0.05)。行为干预前后脂肪肝超声检测指标差异有显著性(P<0.01)。行为干预后轻、中、重度脂肪肝例数发生改变,7例恢复正常肝回声,9例中度脂肪肝程度较前减轻转为轻度,7例重度脂肪肝转为中度。结论不同饮酒等级与肝脏损害程度密切相关,行为干预后脂肪肝的程度有所减轻,戒酒或限酒是预防酒精性肝损害的基本措施。更多还原

【Abstract】 Object To evaluate the effects of behavior intervention to the diffuse fatty liver induced by overdrinking with ultrasonography.Methods70 cases with a long period of overdrinking and diagnosed as alcoholic fatty liver by B ultrasonic were chosen to analyze the changes of fatty liver degree according to the drinking alcohol grade.The changes of ultrasonic image and corresponding parameters were observed in fatty livers with different degrees before and after intervention,and the cases changes of mild,moderate and severe fatty liver patients were contrasted by statistic analysis.ResultsThose drinking alcohol grade <600 g/dy had a lower prevalence of moderate and severe fatty liver than those drinking alcohol grade ≥600 g/dy,but a higher prevalence of mild fatty liver than the latter(P<0.05).There was obvious statistic significance for changes of parameters in fatty livers with different degrees before and after intervention(P<0.01).The number of cases with mild,moderate and severe fatty liver changed respectively after behavior intervention: 7 cases recovered normal echoes,8 cases with moderate fatty liver relieved and converted into mild ones,and 6 cases with severe ones converted into moderate ones.ConclusionThe different drinking alcohol grade was intensively related with the degree of liver lesion.The degree of fatty liver relieved after behavior intervention.Abstinence or restrict alcohol is a radial measure of preventing alcoholic lesions of liver.更多还原