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酒精性肝硬化与乙型肝炎肝硬化并发糖代谢异常男性患者的临床特征对比分析

张文洁 陈绮丹 万瑜 邓辉

张文洁, 陈绮丹, 万瑜, 邓辉. 酒精性肝硬化与乙型肝炎肝硬化并发糖代谢异常男性患者的临床特征对比分析[J]. 临床肝胆病杂志, 2016, 32(2): 296-300. DOI: 10.3969/j.issn.1001-5256.2016.02.020
引用本文: 张文洁, 陈绮丹, 万瑜, 邓辉. 酒精性肝硬化与乙型肝炎肝硬化并发糖代谢异常男性患者的临床特征对比分析[J]. 临床肝胆病杂志, 2016, 32(2): 296-300. DOI: 10.3969/j.issn.1001-5256.2016.02.020
Zhang WenJie, Chen QiDan, Wan Yu, Deng Hui. Clinical features of male patients with alcoholic liver cirrhosis or hepatitis B cirrhosis complicated by abnormal glucose metabolism[J]. J Clin Hepatol, 2016, 32(2): 296-300. DOI: 10.3969/j.issn.1001-5256.2016.02.020
Citation: Zhang WenJie, Chen QiDan, Wan Yu, Deng Hui. Clinical features of male patients with alcoholic liver cirrhosis or hepatitis B cirrhosis complicated by abnormal glucose metabolism[J]. J Clin Hepatol, 2016, 32(2): 296-300. DOI: 10.3969/j.issn.1001-5256.2016.02.020

酒精性肝硬化与乙型肝炎肝硬化并发糖代谢异常男性患者的临床特征对比分析

DOI: 10.3969/j.issn.1001-5256.2016.02.020
详细信息
  • 中图分类号: R575.2;R512.62

Clinical features of male patients with alcoholic liver cirrhosis or hepatitis B cirrhosis complicated by abnormal glucose metabolism

  • 摘要: 目的探讨并发糖代谢异常的男性酒精性肝硬化(ALC)与乙型肝炎肝硬化(HBC)患者的临床特征。方法收集2008年1月-2013年9月于广州市番禺区中心医院住院的肝硬化患者287例,包含ALC患者74例,均为男性,其中并发糖代谢异常者54例;HBC患者213例,其中并发糖代谢异常者97例(男69例、女28例)。对并发糖代谢异常的ALC和HBC患者的临床资料进行分组对照研究,探讨患者临床表现和实验室检查指标、胰岛素抵抗指数、糖代谢异常发生率及其与Child-Pugh分级的关系。计量资料组间比较采用t检验,计数资料组间比较采用χ2检验,采用Spearman进行等级相关分析。结果 ALC男性患者糖代谢异常发生率(73.0%vs 32.4%)、肝源性糖尿病发生率(35.1%vs 14.6%)、空腹低血糖发生率(27.0%vs 10.3%)和糖耐量异常发生率(31.1%vs 14.1%)均高于HBC患者(χ2值分别为4.371、3.274、4.784、1.633,P值均<0.05);Spearman相关性分析显示,ALC和HBC男性患者糖代谢异常发生率与Child-Pugh分级呈正相关(rs=...

     

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出版历程
  • 收稿日期:  2015-04-07
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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