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目的探讨老年高血压非酒精性脂肪肝病(NAFLD)患者与心血管病危险因素的关系。方法随机选取该院2012年1月至2014年1月住院治疗的320例老年高血压患者,其中170例合并非酒精性脂肪肝为NAFLD组,150例单纯高血压为非NAFLD组,比较分析两组患者的临床指标,并使用logistic回归进行多因素分析。结果两组间收缩压(SBP)、舒张压(DBP)、体质量指数(BMI)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、三酰甘油(TG)水平等比较,差异均有统计学意义(P<0.05)。logistic回归分析发现,BMI、DBP、TG、HDL-C是老年高血压NAFLD的危险因素(P<0.05)。结论老年高血压非酒精性脂肪肝与多种心血管病危险因素相关,需加强心血管病危险因素的控制。
Objective To investigate the relationship between cardiovascular risk factors and elderly patients with non-alcoholic fatty liver disease (NAFLD). Methods A total of 320 elderly hypertensive patients hospitalized in our hospital from January 2012 to January 2014 were randomly selected. Among them, 170 patients with non-alcoholic fatty liver were NAFLD group and 150 patients with hypertension were non-NAFLD group. Group of patients with clinical indicators, and use multivariate analysis using logistic regression. Results Compared SBP, DBP, BMI, TC, HDL-C and triglyceride (TG) between the two groups, The differences were statistically significant (P <0.05). Logistic regression analysis found that BMI, DBP, TG and HDL-C were risk factors for hypertension in elderly patients with NAFLD (P <0.05). Conclusion The elderly hypertensive non-alcoholic fatty liver disease is associated with a variety of risk factors of cardiovascular disease, and the risk factors of cardiovascular disease need to be strengthened.