关键词: 非酒精性脂肪性肝病, 高血压病, 快步走, 太极拳, 血生化指标, 血压

Abstract: Objective To study the skelp and Taijiquan （shadowboxing） in treatment of elderly patients with non-alcoholic fatty liver diseases complicated by hypertension. Methods Fifty-eight elderly patients with non-alcoholic fatty liver diseases complicated by blood hypertension from our hospital affiliated to Shaanxi University of Chinese Medicine were included from September 2013 to July 2014 in this study. 29 patients received the conventional medicine，and another 29 exercised with skelp and Taijiquan（shadowboxing） at the base of conventional therapy. All individuals were followed-up for 10 months. Results At the end of ten months，the systolic and diastolic blood pressure in patients with exercise decreased from（168.2±5.3） mmHg and （95.8±7.2） mmHg at presentation to（139.6±6.5） mmHg and（86.0±5.5） mmHg，respectively（P＜0.05），much lower than in the control [（146.1±6.5） mmHg and（91.0±6.2） mmHg，P＜0.05]；the fasting plasma glucose，serum total cholesterol，triglyceride and high-density lipoprotein cholesterol were（3.8±1.2） mmol/L，（4.2±0.9） mmol/L，（1.2±0.4） mmol/L and（1.2±0.2）mmol/L，much lower than in the control[（4.3±1.4） mmol/L，（4.4±0.5） mmol/L，（1.3±1.2） mmol/L and（1.6±0.1） mmol/L，respectively，P＜0.05]；the improvement of blood biochemical parameters in patients with exercise was more obvious than in the control（P<0.05 or P<0.01）. Conclusion Skelp and Taijiquan（shadowboxing） at the base of medical support are beneficial for elderly patients with nonalcoholic fatty liver diseases and hypertension，which might be popularized and applied in clinical practice.

Key words: Non-alcoholic fatty liver diseases, Hypertension, Skelp, Taijiquan（shadowboxing）, Blood biochemical parameters, Blood pressure