中文摘要：

目的：探讨腹部推拿核心手法＂揉腹法＂对非酒精性脂肪肝的临床疗效。方法：研究对象为2012年6月—2014年6月本院门诊的非酒精性脂肪肝患者61例,采用临床随机、对照研究,将选入的病人分为揉腹法组和西药组,疗程12周,以肝脏B超、胆固醇、甘油三酯、天冬氨酸转移酶、丙氨酸氨基转移酶为观察指标。观察每组治疗前后组间客观指标变化。结果：经过治疗,在肝脏B超、胆固醇、甘油三酯指标方面,揉腹法组与西药组相比具有一定统计学差异,且优于西药组。然而在肝功能指标天冬氨酸转移酶、丙氨酸氨基转移酶方面,经过治疗两组相比并无明显差异。在临床疗效方面,经过Ridit值检测,显示揉腹法组与西药组具有统计学差异,且优于西药组。结论：揉腹法有助于提高非酒精性脂肪肝的临床疗效,且可以改善血脂和肝功能水平。

英文摘要：

Objective： To discuss the clinical effect of abdomen kneading method on non alcoholic fatty liver. Methods： The study included 61 cases of nonalcoholic fatty liver disease patients from June 2012 to June 2014 in this hospital. The selected patients were divided into abdomen kneading method group and Western medicine group,treatment for 12 weeks by using the method of clinical randomized and controlled study. B ultrasound,cholesterol,triglyceride,aspartate aminotransferase,alanine aminotransferase were as the observation indexes. Objective index changes were compared before and after treatment between groups. Results：After treatment,two groups＇ indexes were improved. For B ultrasound and blood lipid,abdominal Tuina method group was better than the control group＇ s. For liver function,no significant difference was between two groups. The clinical curative effect showed the abdomen kneading method group and Western medicine group had statistical difference through the Ridit value detection and was better than western medicine group. Conclusion： Abdomen kneading method is helpful to improve the clinical efficacy of non alcoholic fatty liver and can improve blood lipid and liver function.