老年脂肪肝合并冠心病的严重程度比较  

Analysis of the Biomedical Parameters in Old- Aged Patients with Non- Alcoholic Fatty Liver Accompanied Cardiovascular Diseases

作　　者：王建文[1] 匡荣光[1] 李淑英[1] 

机构地区：[1]山东大学附属千佛山医院,山东济南250014

出　　处：《现代临床医学》2013年第6期428-429,共2页Journal of Modern Clinical Medicine

摘　　要：目的:了解患非酒精性脂肪肝(NAFLD)的老年患者,其NAFLD与心血管疾病孰轻孰重。方法:根据腹部超声诊断结果,选择符合条件的34例合并冠心病的老年NAFLD患者,分析其与动脉硬化和脂肪肝相关的部分生化检验指标。结果:伴发冠心病34例,高血压病25例。34例患者的CT肝/脾比值符合轻度脂肪肝的诊断标准,空腹血糖、ALT、AST、GGT、Tch、TG等均在正常范围内,各项指标不支持脂肪性肝炎;胱抑素C(Cys C)和超敏C-反应蛋白(hs-CRP)提示冠心病为中度。结论:合并心血管病的老年非酒精性脂肪肝患者,如果肝功能正常,脂肪肝的病情一般为轻度,建议重点关注心血管系统疾病。Objective: To understand the relation between non- alcoholic fatty liver( NAFL) and cardiovascular( CV) disease in old- aged patients. Methods: The computed tomography( CT) value of liver and spleen and some biomedical parameters of hepatic function,lipid and inflammation were analyzed in 34 patients with NAFLD accompanied CVD. Results: The patient's CT ratio of liver to spleen were accord with mild non- alcoholic fatty liver disease. The fasting blood sugar,ALT,AST,GGT,Tch and TG were normal but did not accord with nonalcoholic steatohepatitis. Elevated Cys c and hs CRP revealed that CVD was in moderate degree. Conclusion: The old patients with NAFLD accompanied CVD may have mild non- alcoholic fatty liver if hepatic function is in normalcondition,so should be attention to cardiovascular disease.

关 键 词：非酒精性脂肪肝 心血管病 肝脾比值 

分 类 号：R446.11+2[医药卫生—诊断学]