| 2型糖尿病患者合并非酒精性脂肪肝与血脂异常及中医辨证分型的关系 |
| |
| 引用本文： | 范译丹,华杰,范源.2型糖尿病患者合并非酒精性脂肪肝与血脂异常及中医辨证分型的关系[J].现代中西医结合杂志,2019(18):1955-1958,1963. |
| |
| 作者姓名： | 范译丹 华杰 范源 |
| |
| 作者单位： | 云南中医药大学第一临床医学院;云南中医药大学第二附属医院 |
| |
| 摘 要： | 目的探讨2型糖尿病患者合并非酒精性脂肪肝(NAFLD)与血脂异常及中医辨证分型的关系。方法选取符合纳入标准的147例确诊为2型糖尿病患者进行研究,根据B超检测有无脂肪肝影像将糖尿病患者分为NAFLD组和无NAFLD组,统计2组患者的性别、年龄、病程、体质量指数(BMI)、中医辨证分型,测定糖化血红蛋白(HbA1c)、三酰甘油(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平。运用t检验、卡方检验和Logistic回归分析,分析脂肪肝和血脂异常及中医辨证分型的关系。结果NAFLD组BMI、HbA1c明显高于无NAFLD组(P均<0.05),糖尿病病程明显短于无NAFLD组(P<0.05),年龄明显小于无NAFLD组,TG、TC、LDL-C和HDL-C均明显低于无NAFLD组(P均<0.05)。回归分析显示,BMI、TG、HDL-C是导致NAFLD的主要危险因素。肝肾阴虚型和气阴两虚兼瘀型相关因素的回归分析分别显示,BMI、TG和TG分别是其主要危险因素。结论2型糖尿病患者NAFLD的发生与血脂异常及中医辨证分型有一定关联,有助于进一步评估糖尿病及其并发症的状态。
|
| 关 键 词： | 2型糖尿病 脂肪肝 血脂异常 中医辨证分型 |
Relationship between non-alcoholic fatty liver disease and dyslipidemia and TCM syndrome differentiation in patients with type 2 diabetes mellitus |
| |
| FAN Yidan,HUA Jie,FAN Yuan.Relationship between non-alcoholic fatty liver disease and dyslipidemia and TCM syndrome differentiation in patients with type 2 diabetes mellitus[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2019(18):1955-1958,1963. |
| |
| Authors: | FAN Yidan HUA Jie FAN Yuan |
| |
| Institution: | (The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming 650000, Yunnan, China;The Second Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming 650200, Yunnan, China) |
| |
| Abstract: | FAN Yidan;HUA Jie;FAN Yuan(The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming 650000, Yunnan, China;The Second Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming 650200, Yunnan, China) |
| |
| Keywords: | type 2 diabetes fatty liver dyslipidemia TCM syndrome differentiation |
| 本文献已被 CNKI 维普 等数据库收录！ |
|
