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個案研究:中強度運動訓練對E抗原陽性之慢性B型肝炎帶原者肝功能之影響

Case Study: The Effects of Moderate Intensity Exercise to Liver Function of E-Antigen Positive Chronic Hepatitis B Carrier

摘要


本研究目的在探討中強度運動訓練對e抗原陽性之慢性B型肝炎帶原者肝功能的影響。受試者為志願參與本研究e抗原陽性之慢性B型肝炎帶原者之男性1名,中強度運動訓練為心跳率130-140次/分,每週進行3次,每次30分鐘,連續進行12週。血液樣本於訓練前(T2)、訓練4週後(T2)、訓練8週後(T3)及訓練12週後(T4)採集,以分析包括直接型膽紅素(direct bilirubin)、總膽紅素(total bilirubin)、草醢乙酸轉胺酶(aspartate transaminase; AST)、丙酮酸轉胺酪(alanine transaminase; ALT)、鹼性磷酸酶(alkaline-phosphatase; Alk-p)、總蛋白(total protein)、白蛋白(albumin)、球蛋白(globulin)、丙型-麩胺酸轉移酶(r-glutamyl transferase; r-GT)、乳酸脫氫酶(Iactate dehydrogenase; LDH)等肝功能指數變化。實驗結果發現:這位e抗原陽性之慢性B型肝炎帶原者在T1、T2、T3及T4所測得的肝功能撿驗值皆在正常值範圍內。本個案研究顯示:這位e抗原陽性之慢性B型肝炎帶原者在經過12週中強度運動訓練後,對肝功能並無不良影響,但不宜推論至其他人。

並列摘要


The purpose of this study was to investigate effects on liver function of e-antigen positive chronic hepatitis B carrier after 12 weeks of moderate intensity exercise. One male subject was involved in this study; with e-antigen positive chronic hepatitis B. The exercise intensity was maintained at the heart rate of 130-140 beats/minute. The frequency of the exercise was three days a week lasted for 12 weeks. Blood sample was drawn from the subject before (T1) and four weeks (T2), eight weeks (T3) and twelve weeks (T4 ) after the training. The results showed that all liver function indicators including direct bilirubin, total bilirubin, aspartate transaminase (AST), alanine transaminase (ALT), alkaline-phosphatase (Alk-p), totaI protein, albumin, gIobulin, r -glutamyl transferase (r-GT), lactate dehydrogenase (LDH) were within normal range at T1 , T2, T3, and T4. The conclusion of the study was that 12 weeks of moderate intensity exercise has no harm on liver function in this e-antigen positive chronic hepatitis B carrier, but can 110t be inferred to others.

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