【摘要】：目的:針對具有代謝綜合征危險因子的乙肝病毒攜帶者進行系統(tǒng)性健康教育,觀察對人體測量指標、血生化值以及飲食習慣的成效。方法:選取139例乙肝病毒攜帶者,A組干預組46人接受12周的健康講座、運動教導(每周3d健康運動)及個別營養(yǎng)調整,B組對照組96人,完成基本問卷及生化檢查。結果:A組干預組的體重、身體質量指數(shù)、腰圍、體脂率、血壓、空腹血糖、血總膽固醇、血中LDL及總膽固醇/HDL比值都下降,差異具有統(tǒng)計學意義(P0.05)。而對照組較之前差異無統(tǒng)計學意義,但血總膽固醇值下降,差異具有統(tǒng)計學意義(P0.05)。在飲食習慣方面,干預組于對照組每公斤體重攝取的飲食脂肪量均減少,差異具有統(tǒng)計學意義(P0.05);系統(tǒng)性健康教育后干預組的飲食行為總分為(51.7±6.1)高于之前(39.2±6.2),差異具有統(tǒng)計學意義(t=8.5870,P0.001)。結論:經過系統(tǒng)性健康教育干預乙肝病毒攜帶者不僅增加營養(yǎng)認知,也可以改善飲食習慣,改善人體測量指標及血脂量。
[Abstract]:Objective: to study the effect of systemic health education on the body weight, blood biochemical value and diet habits of HBV carriers with metabolic syndrome risk factors. Methods: a total of 46 patients in group A of hepatitis B virus carriers received 12 weeks of health talks, and 96 patients in group B received exercise training (3 days a week) and control group B, and completed basic questionnaires and biochemical tests. Results the body weight, body mass index, waist circumference, body fat rate, blood pressure, fasting blood glucose, serum total cholesterol, blood LDL and the ratio of total cholesterol / HDL-C in the intervention group were significantly lower than those in the control group (P0.05). In the control group, there was no significant difference, but the blood total cholesterol decreased, the difference was statistically significant (P0.05). In terms of dietary habits, the dietary fat intake per kilogram of body weight in the intervention group decreased significantly (P0.05), and the total score of dietary behavior in the intervention group after systemic health education was (51.7 鹵6.1) higher than that before (39.2 鹵6.2), the difference was statistically significant (t 8.5870, P 0.001). Conclusion: the intervention of HBV carriers through systematic health education can not only increase nutritional cognition, but also improve diet habits, anthropometric indexes and blood lipids.
【作者單位】： 上海交通大學醫(yī)學院附屬瑞金醫(yī)院感染科;上海交通大學醫(yī)學院附屬同仁醫(yī)院內科;
【基金】：上海市衛(wèi)生局科研課題專項基金,(編號:20124248)
【分類號】：R473.5
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本文編號：2221388