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2型糖尿病合并脂肪肝的危险因素分析
引用本文:陈明卫,杨明功,王佑民,王长江,潘天荣,胡红琳,孙海燕. 2型糖尿病合并脂肪肝的危险因素分析[J]. 临床肝胆病杂志, 2004, 20(1): 44-45
作者姓名:陈明卫  杨明功  王佑民  王长江  潘天荣  胡红琳  孙海燕
作者单位:安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022;安徽医科大学第一附属医院内分泌科,安徽,合肥,230022
摘    要:探讨影响糖尿病合并脂肪肝的主要危险因素.采用病例对照研究,2型糖尿病伴有脂肪肝(DFL)组108例,2型糖尿病不伴脂肪肝(NDFL)组139例,非糖尿病非酒精性脂肪肝(NDNASH)组52例.与DFL有关的危险因素包括体重指数、腰臀比值、血压、空腹胰岛素、餐后2小时胰岛素、胆固醇、甘油三酯、HOMA-IR(胰岛素抵抗指数);NDFL与NDNAS组比较,HOMA-IR差异无显著性.影响DFL的因素众多,主要因素是腰臀比值、甘油三酯;脂肪肝可能是糖尿病前的一个阶段,DFL可能是代谢综合征的一个组成部分.

关 键 词:脂肪肝  2型糖尿病  胰岛素抵抗  危险因素
文章编号:1001-5256(2004)01-0044-02
修稿时间:2003-06-02

Risk factors analysis on nonalcoholic steatohepatitis in patients with type 2 diabetes
CHEN Ming-wei,YANG Ming-gong,WANG You-min,et al.. Risk factors analysis on nonalcoholic steatohepatitis in patients with type 2 diabetes[J]. Chinese Journal of Clinical Hepatology, 2004, 20(1): 44-45
Authors:CHEN Ming-wei  YANG Ming-gong  WANG You-min  et al.
Abstract:To explore the risk factors associated with diabetic fatty liver(DFL). The investigation was conducted by means of case control study, including 108 patients of type 2 diabetes with fatty liver (DFL), 139 type 2 diabetes without fatty liver(NDFL), 52 nondiabetic nonalcoholic steatohepatitis (NDNASH). Risk factors related to DFL including BMI, WHR, SBP, DBP, FINS, PINS, TC, TG and HOMA-IR. There was no significant difference between NDFL and NDNASH groups on HOMA-IR. The risk factor of DFL includes BMI, WHR, SBP, DBP, FINS, PINS, TC, TG and HOMA-IR. WHR and TG are the most important factors of all. Fatty liver was probably one prediabetic stage, DFL was probably one of components of matebolic syndrome.
Keywords:Fatty liver  type 2 diabetes mellitus  Insulin resistance  Risk factors
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