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目的探讨社区居民脂肪肝(FL)患者的脂肪肝分度情况及其肝功能与血脂的相关性研究。方法使用超声仪器检查肝功能、血脂(血清TCH、TG、ALT、AST、ALP、GGT、HDL、LDL等)水平异常的社区居民(368例),肝功能、血脂水平正常的社区居民(160例),对社区居民脂肪肝B超诊断分度,并与肝功能、血脂的水平进行对比。结果 FL组脂肪肝程度血ALT水平与脂肪肝分度成正相关,FL组ALT与TCH、LDL呈正相关。结论 B超诊断脂肪肝程度与肝功能、血脂的水平关系密切,呈正相关。ALT能够反应脂肪肝肝脏损伤的程度。采取降脂尤其是降甘油三脂、胆固醇、降酶及生活方式干预可有效减轻脂肪肝患者的肝脏损伤。
Objective To investigate the classification of fatty liver in patients with fatty liver (FL) and the correlation between liver function and blood fat in community residents. Methods Thirty-six residents (368 residents) with abnormal liver function, blood lipids (serum TCH, TG, ALT, AST, ALP, GGT, HDL, LDL, etc.) ), The community residents fatty liver B-ultrasound diagnosis of classification, and with liver function, blood lipid levels were compared. Results There was a positive correlation between serum ALT levels and fatty liver index in patients with FL, and positive correlation between ALT and TCH and LDL in FL patients. Conclusion The diagnosis of fatty liver by B ultrasound is closely related to the level of liver function and blood lipids. ALT can reflect the degree of liver damage in fatty liver. Taking lipid-lowering, especially lowering triglyceride, cholesterol, reducing enzymes and lifestyle interventions can effectively reduce liver damage in patients with fatty liver.