目的观察慢性肝炎和肝硬化患者糖尿病的发病率及相关影响因素。方法对66例慢性肝病合并糖尿病患者的临床资料进行分析,研究各年龄组及各型慢性肝病患者糖尿病发病情况。结果慢性肝病患者糖尿病发病率高于正常人,并且年龄大小、肝病严重程度,与糖尿病发病率成正相关。结论慢性肝病患者糖尿病发生率较正常人高,患者年龄、肝病的病程及病情轻重与糖尿病发生率相关;慢性肝炎、肝硬化是糖尿病发生的危险因素之一。 Objective To observe the incidence of diabetes and related factors in patients with chronic hepatitis and cirrhosis. Methods The clinical data of 66 patients with chronic liver disease complicated with diabetes mellitus were analyzed to study the incidence of diabetes in all age groups and various types of chronic liver disease. Results The incidence of diabetes in patients with chronic liver disease was higher than that in normal people. And the age, the severity of liver disease and the incidence of diabetes were positively correlated. Conclusion The incidence of diabetes in patients with chronic liver disease is higher than that in normal people. The patients’ age, the course of liver disease and severity of illness are related to the incidence of diabetes. Chronic hepatitis and cirrhosis are one of the risk factors of diabetes.