论文部分内容阅读
目的 :分析胰岛素抵抗综合征患者脂肪肝临床特点。方法 :用B超直方图半定量检测 6 1例胰岛素抵抗综合征患者的脂肪肝 ,分区采集进行比较 ,并与其临床、生化指标进行相关性研究。结果 :胰岛素抵抗综合征患者肝脏B超平均灰阶值在近门脉区高于近胆囊区 (P <0 .0 0 1)。女性患者肝脏B超平均灰阶均值 (AV)高于男性 (P <0 .0 1)。AV与体重指数 (BMI)、腰围 (W)、臀围 (H)呈显著正相关 ,与腰臀比率 (WHR)、胰岛素敏感指数 (ISI)有负相关趋势 ,与高密度脂蛋白胆固醇 (HDL C)呈显著负相关。结论 :胰岛素抵抗综合征患者肝脏脂质分布在近门脉区高于近胆囊区 ;女性患者脂肪肝程度高于男性 ;脂肪肝与胰岛素抵抗综合征患者多种危险因素相关 ,BMI,W ,H和血清HDL C四个指标能较好反映脂肪肝程度
Objective: To analyze the clinical features of fatty liver in patients with insulin resistance syndrome. Methods: The fatty liver of 61 patients with insulin resistance syndrome were semi-quantitatively detected by B-mode histogram and compared with the clinical data and biochemical indexes. Results: The liver ultrasonographic grayscale of patients with insulin resistance syndrome was higher in the proximal portal vein region than in the proximal gallbladder region (P <0.01). The mean B-mean gray value (AV) of liver in female patients was higher than that in men (P <0.01). There was a significant positive correlation between AV and body mass index (BMI), waist circumference (W) and hip circumference (H), negative correlation with WHR and ISI, and negatively correlated with high density lipoprotein cholesterol C) was significantly negative correlation. Conclusion: The liver lipid distribution in patients with insulin resistance syndrome is higher in the proximal portal vein area than in the proximal gallbladder area. The incidence of fatty liver in women is higher than that in men. Fatty liver is associated with various risk factors in patients with insulin resistance syndrome. The BMI, W, H And serum HDL C four indicators can better reflect the degree of fatty liver