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非酒精性脂肪性肝病与脉搏波传导速度的临床分析
作者:莫双阳 1   修剑锋 2   韩娇妮 2  
单位:1. 柳州市人民医院 广西柳州 545006 2. 同济大学医学院 上海 200049 
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出版年,卷(期):页码:2015,7(3):112-115
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摘要:目的 探讨非酒精性脂肪性肝病(NAFLD)与脉搏波传导速度(PWV)的关系。方法 对纳入研究的208例体检者相关临床指标进行回顾性分析。结果 NAFLD的总患病率为16.8%(35/208),男女之间NAFLD患病率无明显统计学差异;NAFLD组的年龄、体重、腰围、BMI、收缩压、血糖、甘油三脂、LDL、ALT、GGT、平均BaPWV均高于非NAFLD组;男性和女性NAFLD组平均BaPWV均高于各自的非NAFLD组;多元逐步回归分析显示,以平均BaPWV为因变量,变量年龄、BMI、收缩压、血糖、LDL、GGT及NAFLD进入回归方程;而在NAFLD组内,变量BMI、收缩压、血糖、LDL、GGT进入回归方程;NAFLD组内变量BMI、收缩压、血糖、LDL均与平均BaPWV呈现明显的正相关性。结论 NAFLD患者的动脉硬化程度高于对照组,将PWV作为评估NAFLD患者动脉硬化程度的指标具有一定的实用价值。

Abstract: Objective To investigate the relationship between non-alcoholic fatty liver disease and pulse wave velocity. Methods The clinical data of 208 subjects enrolled were analyzed retrospectively. Results The prevalence of NAFLD was 16.8% (35/208), and there was no significant difference in the prevalence
of NAFLD between male and female. Compared with normal group, NAFLD subjects were older and had significant higher body weight, waist circumference, BMI, systolic blood pressure, blood glucose, triglycerides, LDL, ALT and GGT. Compared to controls, the average BaPWV of NAFLD subjects both male
and female were significant higer. In multiple regression analysis, age, BMI, systolic blood pressure, blood glucose, LDL, GGT and NAFLD contributed to average BaPWV. Furthermore, in the NAFLD subjects, BMI, systolic blood pressure, blood glucose and LDL contributed to average BaPWV. There was positive correlation between BMI, systolic blood pressure, blood glucose, LDL and average BaPWV in NAFLD group. Conclusions Compared to controls, NAFLD subjects had more severe atherosclerosis, and PWV was a valuable indicator to assess the extent of atherosclerosis in NAFLD subjects.

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