新医学2012,Vol.43Issue(7):458-460,3.DOI:10.3969/g.issn.0253-9802.2012.07.007
糖尿病合并非酒精性脂肪肝老年患者代谢及血管病变特点
The characteristic of metabolism and vascular lesions in elderly patients with type 2 diabetes mellitus and nonalcoholic fatty liver disease
王瑞雪 1姚远涛 2沙卫红 2吴文 1智喜梅 1张伟杰1
作者信息
- 1. 广东省人民医院(广东省医学科学院)东病区内分泌科,510080
- 2. 广东省人民医院(广东省医学科学院)消化内科,510080
- 折叠
摘要
Abstract
Objective: To evaluate the characteristic of metabolism and vascular lesions in elderly patients with type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD). Method: Two hundred and sixty-eight elderly T2DM patients were divided into two groups (102 NAFLD and 166 non-NAFLD). Serum biomark-ers, vascular imaging index and clinical complications were compared between two groups . Logistic regression analysis was performed to evaluate the concerned risk factors. Result; Compared with non-NAFLD group, NAFLD group showed statistically significant increase in BMI , H0MA4R, GHbAlc, ALT, HS-CRP and thicker IMT (P <0. 05 ~ P < 0. 01 ). The risk factors of coronary artery stenosis included TG , GHbAlc and ALT. Conclusion; NAFLD with T2DM showed more serious systemic metabolic disorders , and the risk of vascular complications also increased.关键词
2型糖尿病/非酒精性脂肪肝/冠状动脉粥样硬化性心脏病Key words
Type 2 Diabetes mellitus/ Non-alcoholic fatty liver/ Coronary heart disease引用本文复制引用
王瑞雪,姚远涛,沙卫红,吴文,智喜梅,张伟杰..糖尿病合并非酒精性脂肪肝老年患者代谢及血管病变特点[J].新医学,2012,43(7):458-460,3.