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

被引:41
作者
Cai, Gen-shen [1 ]
Su, Hui [2 ]
Zhang, Jing [1 ]
机构
[1] Capital Med Univ, Dept Gen Med, Beijing Shijitan Hosp, 10 Tieyi Rd, Beijing 10038, Peoples R China
[2] Capital Med Univ, Dept Gastroenterol, Beijing Shijitan Hosp, Beijing, Peoples R China
关键词
hepatic fatty deposition; insulin resistance; liver function; non-alcoholic fatty liver disease; probiotics; GUT MICROBIOTA; NAFLD;
D O I
10.1097/MD.0000000000021464
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
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.
引用
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页数:5
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