病毒性肝炎合并糖尿病的流行病学特点分析  

Analysis of the epidemiological characteristics of viral hepatitis complicated with diabetes mellitus

作　　者：王民康 

机构地区：[1]深圳市第九人民医院龙岗中心医院预防保健科,深圳518116

出　　处：《中国当代医药》2016年第20期34-36,共3页China Modern Medicine

摘　　要：目的 探讨病毒性肝炎合并糖尿病的流行病学特点,为临床防治病毒性肝炎合并糖尿病提供可靠的参考依据。方法 选取2011年1月-2015年12月本院住院部收治的80例病毒性肝炎合并糖尿病患者作为此次研究的对象,将其设置为A组;另选取同期本院住院部收治的80例单纯病毒性肝炎患者、80例单纯糖尿病患者作为参照对象,分别设置为B组、C组。对三组的临床资料进行回顾性总结分析,记录三组的性别、年龄,比较A组、B组的肝脏病变类型分布以及肝炎病毒类型,并对A组、C组的糖尿病临床类型分布进行比较,最后对病毒性肝炎合并糖尿病的流行病学特点进行总结。结果 在性别方面,A组的男性较女性更多,且A组的男性所占比例均明显高于B组、C组（P〈0.05）。在年龄方面,平均年龄从高至低依次排列为C组、A组、B组,三组之间存在明显差异（P〈0.05）,A组年龄集中于41-60岁区间,B组年龄集中于20-40岁区间,C组年龄集中于61-80岁区间。在肝脏病变类型方面,A组的肝硬化所占比例较B组明显更高（P〈0.05）,慢性肝炎所占比例较B组明显更低（P〈0.05）,A组和B组的重型肝炎所占比例、急性肝炎所占比例无明显差异（P〉0.05）。在肝炎病毒类型方面,A组和B组均以乙型肝炎病毒为主,两组的乙型肝炎病毒所占比例无明显差异（P〉0.05）。在糖尿病临床类型方面,A组和C组均以2型糖尿病为主,A组的1型糖尿病所占比例明显低于C组（P〈0.05）。结论 病毒性肝炎合并糖尿病多发生于男性人群,年龄分布集中于40-60岁,多为乙型肝炎、2型糖尿病,多伴随有肝硬化。Objective To explore the epidemiological characteristics of viral hepatitis complicated with diabetes mellitus,and to provide a reliable reference for the prevention and treatment of viral hepatitis complicated with diabetes. Methods 80 cases of virus hepatitis combined with diabetes in our hospital inpatients department from January 2011 to December 2015 were selected as the research object,and set as group A,80 diabetes patients and 80 virus hepatitis patients in our hospital inpatient department at the same period were selected as the reference object,and were respectively arranged into group B and group C.The clinical data of three groups were retrospectively summarized analysis.The gender and age among the three groups was recorded,the liver lesion type distribution and hepatitis virus type was compared between group A and group B,diabetes mellitus type distribution was compared between group A and group C. Finally,the epidemiologieal characteristics of viral hepatitis complicated with diabetes mellitus were summarized.Results In gender,male patients were more than female patients in group A,and the proportion of male patients in group A was higher than that group B and group C （P〈0.05）.In Age,the average age of three groups from high to low was sequentially arranged for group C,group A and group B,there were significant difference between the three groups （P〈 0.05）,group A focused on the age 41-60 years interval,group B focused on the age range of 20 to 40 years old,group C focused on the age range of 61 to 80 years old.In the proportion of the type of liver disease,the proportion of cirrhosis in group A which compared with group B was significantly higher （P〈0.05）,ehronie hepatitis compared with group B was significantly lower （P〈0.05）,hepatitis proportion of acute hepatitis were compared between group A and group B,the proportion had no significant difference （P〉0.05）.In hepatitis B virus types,group A and group B were mainly hepatitis B virus,the proportion of hepatitis B vi

关 键 词：病毒性肝炎 糖尿病 流行病学 特点 

分 类 号：R512.6[医药卫生—内科学]