论文部分内容阅读
目的:探讨2型糖尿病伴非酒精性脂肪肝临床特点。方法:测定72例2型糖尿病伴发脂肪肝和64例2型糖尿病不伴发脂肪肝病例的血压、空腹血糖、餐后2 h血糖、糖化血红蛋白、血脂谱及肝功能,计算体重指数。结果:2型糖尿病伴发脂肪肝与不伴发脂肪肝者相比,体重指数、糖化血红蛋白、甘油三酯,低密度脂蛋白胆固醇,谷丙转氨酶,谷氨酰转肽酶均升高(P<0.05,P<0.01),而高密度脂蛋白胆固醇降低(P<0.05)。结论:2型糖尿病伴发脂肪肝比不伴发脂肪肝者存在明显的体重指数增高、脂代谢紊乱、肝功能异常及胰岛素抵抗。
Objective: To investigate the clinical features of type 2 diabetes with non-alcoholic fatty liver. Methods: Blood pressure, fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin, blood lipid profile and liver function were measured in 72 cases of type 2 diabetes mellitus with fatty liver and 64 cases of type 2 diabetes mellitus without fatty liver. The body mass index was calculated. Results: Body mass index, glycosylated hemoglobin, triglyceride, low density lipoprotein cholesterol, alanine aminotransferase and glutamyl transpeptidase were higher in type 2 diabetic patients with fatty liver than those without fatty liver (P <0.05, P <0.01), while high density lipoprotein cholesterol decreased (P <0.05). Conclusion: There is a significant body mass index increase, dyslipidemia, abnormal liver function and insulin resistance in type 2 diabetic patients with fatty liver than those without fatty liver.