肝源性糖尿病维生素D与肝硬化分级相关性研究 |
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引用本文: | 刘红冬,;张囡囡,;苏言辉. 肝源性糖尿病维生素D与肝硬化分级相关性研究[J]. 中国医师进修杂志, 2014, 0(31): 39-41 |
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作者姓名: | 刘红冬, 张囡囡, 苏言辉 |
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作者单位: | [1]山东省枣庄矿业集团滕南医院内分泌科,山东微山277606; [2]山东省枣庄矿业集团中心医院肝病科;,山东微山277606; [3]山东省枣庄市薛城区人民医院内分泌科,山东微山277606; |
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摘 要: | 目的 探讨维生素D水平与肝硬化分级相关性.方法 收集肝源性糖尿病患者38例,2型糖尿病患者48例,健康对照者30例,监测血清25-(OH) D3水平,并计算Child-Pugh积分,分析肝源性糖尿病发病机制与病情相关性.结果 肝源性糖尿病患者、2型糖尿病患者及健康对照者血清25-(OH)D3水平分别是(38.23±12.47),(63.33±13.58),(86.14± 16.25)μmol/L,差异有统计学意义(P<0.05);肝源性糖尿病患者血清25-(OH)D3水平与肝硬化Child-Pugh积分呈负相关(r=-0.363,P<0.05).结论 低水平维生素D或是肝源性糖尿病患者发病机制之一.
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关 键 词: | 肝硬化 糖尿病,2型 维生素D 肝源性糖尿病 Child-Pugh分级 |
Correlation between vitamin D and liver cirrhosis classification in hepatic diabetes |
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Affiliation: | Liu Hongdong,Zhang Nannan,Su Yanhui. (Department of Endocrinology,Tengnan Hospital of Zaozhuang Mining Group ,Shandong Weishan 277606, China) |
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Abstract: | Objective To observe the correlation between vitamin D and liver cirrhosis classification in hepatic diabetes.Methods Thirty-eight patients with hepatic diabetes,48 patients with type 2 diabetes and 30 cases of healthy controls were collected.The level of serum 25-(OH)D3 was determined,and the Child-Pugh score was calculated.The correlation between pathogenesis and pathogenetic condition of hepatic diabetes was analyzed.Results The levels of serum 25-(OH)D3 in hepatic diabetes patients,type 2 diabetes patients and healthy controls were (38.23 ± 12.47),(63.33 ± 13.58) and (86.14 ± 16.25) μ mol/L,and there was statistical difference (P 〈 0.05).There was negative correlation in hepatic diabetes between serum 25-(OH)D3 level and liver cirrhosis Child-Pugh score (r =-0.363,P 〈 0.05).Conclusion Low level of vitamin D may be one of the pathogenesis of hepatic diabetes. |
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Keywords: | Liver cirrhosis Diabetes mellitus, type 2 Vitamin D Hepatic diabetes Child-Pugh classification |
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