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目的:研究不同人群脂肪肝与颈动脉粥样硬化的关系。方法:选取2012年9月-2012年12月期间阳江市中医医院接受肝脏检查者共140例,按照年龄段不同将其分为5个年龄段,又按照脂肪肝检查结果将其分为脂肪肝患者和肝正常者。观察脂肪肝发生率、脂肪肝患者及肝正常者颈动脉斑块和内膜增厚发生率。结果:脂肪肝对发生在男性中,颈动脉斑块发生率随年龄递增,出现时间较脂肪肝晚。脂肪肝患者和肝正常者颈动脉斑块发生率分别为34.69%、18.68%,组间比较,差异有统计学意义(P<0.05)。脂肪肝患者和肝正常者颈动脉内膜增厚发生率分别为8.16%、8.79%,组间比较,差异无统计学意义(P>0.05)。结论:脂肪肝与颈动脉粥样硬化关系密切,脂肪肝先于颈动脉粥样硬化发生,可通过脂肪肝检查情况进行颈动脉粥样硬化预测。
Objective: To study the relationship between fatty liver and carotid atherosclerosis in different population. Methods: From September 2012 to December 2012, Yangjiang Hospital of Traditional Chinese Medicine received a total of 140 liver examinations, divided into five age groups according to their age, and according to the results of fatty liver examination, they were divided into fatty liver Patients and normal liver. Observe the incidence of fatty liver, patients with fatty liver and liver normal carotid plaque and intimal thickening incidence. Results: Fatty liver occurred in males. The incidence of carotid plaques increased with age and appeared later than fatty liver. The incidence of carotid plaques in patients with fatty liver and normal liver were 34.69% and 18.68%, respectively. There was significant difference between the two groups (P <0.05). The incidence of carotid intimal thickening in patients with fatty liver and normal liver was 8.16% and 8.79%, respectively. There was no significant difference between the two groups (P> 0.05). Conclusion: Fatty liver is closely related to carotid atherosclerosis. Fatty liver precedes carotid atherosclerosis. Carotid atherosclerosis can be predicted by fatty liver examination.