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益生菌对非酒精性脂肪性肝病患者的保护作用。

Protective effect of probiotics in patients with non-alcoholic fatty liver disease.

作者信息

Cai Gen-Shen, Su Hui, Zhang Jing

机构信息

Department of General Medicine.

Department of Gastroenterology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.

出版信息

Medicine (Baltimore). 2020 Aug 7;99(32):e21464. doi: 10.1097/MD.0000000000021464.

Abstract

To investigate the effects of probiotics on liver function, glucose and lipids metabolism, and hepatic fatty deposition in patients with non-alcoholic fatty liver disease (NAFLD).Totally 140 NAFLD cases diagnosed in our hospital from March 2017 to March 2019 were randomly divided into the observation group and control group, 70 cases in each. The control group received the diet and exercise therapy, while the observation group received oral probiotics based on the control group, and the intervention in 2 groups lasted for 3 months. The indexes of liver function, glucose and lipids metabolism, NAFLD activity score (NAS), and conditions of fecal flora in 2 groups were compared before and after the treatment.Before the treatment, there were no significant differences on alanine aminotransferase (ALT), aspartate aminotransferase (AST), glutamine transferase (GGT), total bilirubin (TBIL), total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), insulin resistance index (HOMA-IR), NAFLD activity score (NAS), and conditions of fecal flora in 2 groups (P > .05). After the treatment, ALT, AST, GGT, TC, TG, HOMA-IR, NAS, and conditions of fecal flora in the observation group were better than those in the control group, and the observation group was better after treatment than before. All these above differences were statistically significant (P < .05).Probiotics can improve some liver functions, glucose and lipids metabolism, hepatic fatty deposition in patients with NAFLD, which will enhance the therapeutic effects of NAFLD.

摘要

探讨益生菌对非酒精性脂肪性肝病(NAFLD)患者肝功能、糖脂代谢及肝脏脂肪沉积的影响。选取2017年3月至2019年3月在我院确诊的140例NAFLD患者,随机分为观察组和对照组,每组70例。对照组给予饮食和运动治疗,观察组在对照组基础上口服益生菌,两组干预均持续3个月。比较两组治疗前后肝功能、糖脂代谢指标、NAFLD活动评分(NAS)及粪便菌群情况。治疗前,两组丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、谷氨酰胺转移酶(GGT)、总胆红素(TBIL)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、胰岛素抵抗指数(HOMA-IR)、NAFLD活动评分(NAS)及粪便菌群情况比较,差异均无统计学意义(P>0.05)。治疗后,观察组ALT、AST、GGT、TC、TG、HOMA-IR、NAS及粪便菌群情况均优于对照组,且观察组治疗后较治疗前改善。上述差异均有统计学意义(P<0.05)。益生菌可改善NAFLD患者部分肝功能、糖脂代谢及肝脏脂肪沉积,提高NAFLD的治疗效果。

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