---
title: "脂肪肝別急著用藥　找出原因才能真正改善 - FoodNo1.com"
description: "臨床上，急性和慢性肝炎也可能會同時合併脂肪肝問題；造成脂肪肝原因，包括飲酒過量、體重過重、有三高病史等都恐埋下致病原因..."
url: "https://foodno1.com/foodno1dailyrecipes/dir/food-and-health/3322-2016-12-20-12-15-12.html"
date: "2026-06-28T03:30:49+00:00"
language: "zh-TW"
---

#  脂肪肝別急著用藥 找出原因才能真正改善

  No.1 Admin   [飲食健康](https://foodno1.com/foodno1dailyrecipes/dir/food-and-health.html)    2016年12月18日    點擊數: 1538

 ![](https://foodno1.com/images/obhealthno1/2016-12/e8f5dbb1ff.jpeg)

造成脂肪肝原因，包括飲酒過量、體重過重、有三高病史等都恐埋下致病原因，臨床上，急性和慢性肝炎也可能會同時合併脂肪肝問題；湯昇曄,國立成大醫院斗六分院胃腸肝膽科醫師指出，但因部分患者未有明顯徵兆，因此當演變為肝硬化時，就可能會出現黃疸、食道及胃靜脈瘤出血、肝昏迷等併發症。

#### 找出致病原因 才能真正改善脂肪肝

臨床上，許多患者接受腹部超音波檢查後確診有脂肪肝問題，常常因此擔心是否會影響健康，希望醫師能立即開立肝藥治療；湯昇曄表示，其實脂肪肝成因多樣性，因此必須先找出原因，對症下藥，才能真正改善脂肪肝問題。

#### 飲食控制和運動 有效舒緩脂肪肝

湯昇曄說明，診斷上，除了應先了解患者是否有酗酒或其他病毒型肝炎，也可透過腹部超音波初步診斷，另外，肝穿刺切片檢查則可確定是否有肝硬化問題，治療上，除了避免過度飲酒或自行服用中草藥，患者應配合飲食控制和適量運動，部分患者都能有效獲得改善。

#### 定期接受檢查 遠離脂肪肝

患者不需過於擔心，大部分的脂肪肝多屬良性，僅需定期追蹤即可，僅有少部分患者恐有肝炎問題，進而造成肝功能惡化，嚴重造成肝癌發生；湯昇曄醫師呼籲，除了應定期接受肝指數等檢查外，患者也可和醫師討論是否需進一步接受肝穿刺切片檢查，確保身體無恙。

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