2型糖尿病合并脂肪肝相关因素分析  

A Clinical Study of Relative Factors in Type 2 Diabetes Mellitus Complicated with Sebaceous Hepatitis

作　　者：余戎[1] 朱水山[2] 张弘英[2] 文艺[2] 

机构地区：[1]江西医学院第二附属医院内分泌科,江西南昌330006 [2]江西医学院第二附属医院消化内科,江西南昌330006

出　　处：《实用临床医学（江西）》2005年第9期29-31,共3页Practical Clinical Medicine

摘　　要：目的:探讨2型糖尿病(2DM)合并脂肪肝的临床相关因素。方法:回顽性分析56例2DM合并脂肪肝患者及同期61例2DM无脂肪肝患者的临床资料。结果:(1)脂肪肝组甘油三酯(TG)明显高于无脂肪肝组(P<0.01),而高密度脂蛋白(HDL)则明显降低(P<0.05);(2)脂肪肝组胰岛素作用指数(IAI)明显低于无脂肪肝组(P<0.01),而体重指数(BMI)则明显升高(P<0.01)。结论:脂质代谢紊乱、胰岛素抵抗及肥胖与脂肪肝的形成密切相关,高甘油三酯血症、高胰岛素血症及肥胖是脂肪肝形成的高危因素。Objective ： To analyze the clinical relative factors in Type 2 diabetes mellitus（2-DM） complicated with sebaceous hepatitis（SH）. Methods. clinical history of 56 cases of 2-DM with SH and 61 cases of 2-DM without SH were reviewed. Results： （1）The serum TG levels increased significantly in the 2-DM patients with SH（P〈0. 01） ,while the serum HDL levels decreased compared with the 2-DM patients without SH（P〈0. 05）. （2） Insulin action indexes（IAI）decreased significantly in the 2-DM patients with SH（P〈0.01）, while boby-mass indexes（BMI）increased compared with the 2-DM patients without SH（P〈0.01）. Conclusion. Sebaceous metabolism disorder and insulin resistance and obesity were remarkably correlated with the forming of SH, and may be high risk factors.

关 键 词：2型糖尿病 脂肪肝 临床相关因素 

分 类 号：R587.1[医药卫生—内分泌] R575.5[医药卫生—内科学]