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2型糖尿病伴非酒精性脂肪肝的危险因素分析

HUANG Yinqiong

Fujian Medical Journal（2014）

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Abstract
目的 探讨2型糖尿病(T2DM)伴非酒精性脂肪肝(NAFLD)患者的相关危险因素.方法 选取T2DM患者122例,根据肝脏彩超检查分为T2DM伴NAFLD组和T2DM不伴NAFLD组.对其腰围、腰臀比(WHR)、BMI、肝功能、血脂、胰岛素抵抗指数(HOMA-IR)进行比较分析.结果 与单纯T2DM组相比,T2DM伴NAFLD组的腰围、WHR、BMI、TC、TG、LDL-C、ALT、HOMA-IR升高(P＜0.05).多元逐步回归分析显示,TG、腰围、BMI、HOMAIR是NAFLD的独立危险因素.结论 T2DM伴NAFLD患者存在多种代谢异常,其中肥胖、TG、胰岛素抵抗对其影响最大.
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Insulin Resistance
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