非酒精性脂肪肝和胆汁反流性胃炎临床相关性分析  

The Clinical Relationship Between Non-Alcoholic Fatty Liver Disease and Bile Reflux Gastritis

作　　者：孙敬平[1] 温彪[1] 

机构地区：[1]成都医学院第一附属医院消化内科,成都610500

出　　处：《成都医学院学报》2013年第3期326-328,共3页Journal of Chengdu Medical College

摘　　要：目的探讨非酒精性脂肪肝(NAFLD)与胆汁反流性胃炎(BRG)的临床相关性及NAFLD发生BRG的危险因素和临床特点。方法选择近4年在我院消化内科门诊及住院诊断为NAFLD合并BRG患者82例(以下简称合并组)为研究对象,并以103例单纯NAFLD患者为对照组,收集两组临床及生化资料进行分析及比较。结果合并组患者其肥胖、高血压、高血糖发生率较对照组患者明显升高,其OR值分别为1.337、1.589、1.468。两组年龄、性别、血脂、肝功能比较差异无统计学意义(OR=1)。结论 NAFLD与BRG有明显相关性。肥胖、高血糖及高血压可能是NAFLD发生BRG的高危因素;而年龄、性别、血脂、肝功能与其发生无明显关系。Objective To study the relationship between non-alcoholic fatty liver diseas （NAFLD） and bile reflux gastritis （BRG） ,and further to discuss the risk factors and the clinical characteristics of NAFLD with BRG. Methods We analyzed the clinical data of 82 cases with both two diseases,and 103 cases of NAFLD were used as control. Results The combination group has a higher morbidity rate of obesity, hyperglycemia and hypertension （OR values were 3. 277, 2. 098 and 1. 587, respectively） than that in the control group. Howerver, age, sex, concentration of serum lipid and hepatic function displayed no significant differences in the two groups （OR = 1）. Conclusion There are obvious relationship between the NAFLD and the BRG. Obesity, hyperglycemia and hypertension are risk factors of NAFLD with BRG,while age,sex,concentration of serum lipid and hepatic function are not.

关 键 词：非酒精性脂肪肝 胆汁反流性胃炎 危险因素 

分 类 号：R575.5[医药卫生—消化系统] R573.3[医药卫生—内科学]