2型糖尿病合并脂肪肝的相关因素及与慢性并发症的关系探讨

对2010年12月至2011年5月住院的365例2型糖尿病患者临床资料进行回顾分析。合并脂肪肝者130例（35．6％），未合并脂肪肝者235例，两者的性别、年龄、病程相似（P〉0．05）；合并脂肪肝者的BMI、糖化血红蛋白（HbA1c）、血压、TC、TG、LDL—C水平及大血管并发症、微血管并发症发生率，高于未合并脂肪肝者（均P〈0．01），而周围神经病变发生情况差异无统计学意义（P〉0．05）。提示，2型糖尿病合并脂肪肝者的血脂异常、BMI、HbA1c,合并高血压与慢性并发症的比例，均较无脂肪肝者高。

Risk factors and chronic complications of type 2 diabetes with fatty liver

Clinical data of 365 patients with type 2 diabetes admitted from December 2010 to May 2011 were retrospectively analyzed, including 130 cases with fatty liver and 235 non-fatty liver cases. Fhere were no differences in gender, age, disease course between two groups （P 〉 0.05）. BMI, glycated hemoglobin （HbAlc）, blood pressure, TC, TG, LDL-C, large vessels complications and mierovascular complications rate in fatty liver group were significantly higher than those in non-fatty liver group （ all P 〈 0. 01 ） , while there was no difference in rate o：F peripheral neuropathy （P 〉 0. 05 ）. The results indicate that blood glucose, blood pressure, BMI, abnormal blood lipid and chronic complications were closely related to type 2 diabetics with fatty liver.