中国全科医学2013,Vol.16Issue(2):127-129,3.DOI:10.3969/j.issn.1007-9572.2013.01.040
冠心病合并2型糖尿病患者非酒精性脂肪性肝病发病率及危险因素研究
Prevalence and Risk Factors of Non-alcoholic Fatty Liver Disease in Coronary Heart Disease with Type 2 Diabetes Mellitus Patients
摘要
Abstract
Objective To investigate the incidence and risk factors of NAFLD in coronary artery disease with type 2 diabetes mellitns patients undergoing coronary angiogram. Methods 280 patients with coronary artery disease in type 2 diabetes mellitus who underwent coronary angiogram were enrolled into this study. All patients had ultrasound screening for fatty liver. Results Among 280 recruited patients, 178 ( 63. 6% ) had fatty liver by ultrasonography. The incidence of NAFLD increased with the severity of coronary artery lesions ( X2 remal =6.148, P =0.01 ). Multi -vessel lesions in moderate to severe NAFLD was higher than the mild level ( X2 = 10. 317, P <0. 01 ). By multivariable Logistic regression analysis, multi -vessel lesions or stenosis of left main stem were risk factor in NAFLD patients with coronary heart disease in diabetes mellitus. Conclusion In coronary artery disease patients with diabetes mellrtus, multi -vessel lesions and stenosis of left main stem are the important risk factors for NAFLD occurrence.关键词
冠心病/糖尿病,2型/非酒精性脂肪肝/超声检测Key words
Coronary disease/Diabetes mellitus, type 2/Non - alcoholic fatty liver/Ultrasonography分类
医药卫生引用本文复制引用
李庆祥,张莹,张新勇,朱小玲,白树功..冠心病合并2型糖尿病患者非酒精性脂肪性肝病发病率及危险因素研究[J].中国全科医学,2013,16(2):127-129,3.基金项目
首都发展基金资助项目(2005-1004) (2005-1004)