高频超声测量肝前脂肪厚度与2型糖尿病的关系  

Relationship between high frequency ultrasound measurement of prehepatic fat thickness and type 2 diabetes mellitus

作　　者：杨虹[1] 刘雯[1] YANG Hong;LIU Wen(B-mode Ultrasound Room of Physical Inspection Department,Tianjin Public Security Hospital,Tianjin 300042,China)

机构地区：[1]天津市公安医院物检科B超室,天津300042

出　　处：《中国城乡企业卫生》2023年第8期166-169,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

基　　金：天津市公安局科技基金资助项目(2017KYSGAY019)。

摘　　要：目的探讨肝前脂肪厚度与2型糖尿病的关系,间接反应人体血糖的控制情况,使2型糖尿病患者早期得到针对性治疗,为延缓心血管疾病发生提供帮助。方法收集2018年5月—2020年10月在天津市公安医院体检的公安民警的临床及超声资料,筛查60例2型糖尿病患者为观察组,同期体检的51例身体健康者为对照组。应用彩色多普勒超声检测仪测量其肝前脂肪厚度,测量体质量指数(BMI)、腰围(WC)、腰臀比(WHR)及血压水平,检测相关生化指标(空腹血糖、血脂),比较两组间各参数差异。采用Pearson相关分析空腹血糖与各参数的相关性,采用logistic回归模型分析2型糖尿病的影响因素。结果两组间肝前脂肪厚度及腰臀比,差异有统计学意义(P<0.05),肝前脂肪厚度、腰臀比与空腹血糖成正相关,HDL-C与空腹血糖呈负相关,肝前脂肪厚度、高密度脂蛋白胆固醇是2型糖尿病的独立危险因素。结论肝前脂肪厚度是2型糖尿病的独立危险因素,可间接反应人体血糖的控制情况,可使2型糖尿病患者早期得到针对性治疗,达到延缓心血管疾病发生的目的。Objective To explore the relationship between prehepatic fat thickness and type 2 diabetes mellitus,indirectly reflect the control of human blood sugar,so that patients with type 2 diabetes mellitus could receive targeted treatment at an early stage,and provide help to delay the occurrence of cardiovascular disease.Methods The clinical and ultrasonic data of the public security police who underwent physical examination in Tianjin Public Security Hospital from May 2018 to October 2020 were collected.A total of 60 patients with type 2 diabetes mellitus were selected as the observation group,and 51 healthy people who underwent physical examination at the same time were selected as the control group.Their prehepatic fat thickness were measured by the color Doppler Ultrasonic testing detector.The body mass index(BMI),waist circumference(WC),Waist-hip ratio(WHR)and blood pressure level were measured.The related biochemical indicators(Fasting blood sugar,blood lipid)were detected.The differences of each parameter between the two groups were compared.Pearson correlation was used to analyze the correlation between Fasting blood sugar and various parameters,and logistic regression model was used to analyze the influencing factors of type 2 diabetes mellitus.Results There was a statistically significant difference between the two groups in the prehepatic fat thickness and waist-hip ratio(P<0.05).The prehepatic fat thickness and waist-hip ratio were positively correlated with fasting blood sugar,while HDL-C was negatively correlated with fasting blood sugar.The prehepatic fat thickness and high-density lipoprotein cholesterol were independent risk factors for type 2 diabetes mellitus.Conclusion Prehepatic fat thickness was an independent risk factor for type 2 diabetes mellitus,which could indirectly reflect the control of human blood sugar,and enable patients with type 2 diabetes mellitus to receive targeted treatment at an early stage,so as to delay the occurrence of cardiovascular disease.

关 键 词：超声检查 肝前脂肪厚度 2型糖尿病 空腹血糖 危险因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R587.1[医药卫生—诊断学]