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肝炎后肝硬化合并代谢综合征的临床特征和护理体会

作者：程宏 1 范小玲 1 张维燕 2 李蕴铷 1

单位：1.首都医科大学附属北京地坛医院北京 100015 2. 清华大学华信医院北京 100016

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出版年,卷(期):页码：2015,7(3):116-119

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摘要：目的探讨肝炎后肝硬化患者伴发代谢综合征（MS）的临床特征及护理体会。方法统计455例住院的肝硬化患者并发代谢紊乱的发生率，分析其代谢紊乱的特征。结果肝硬化患者高血糖、高血压、高血脂、肥胖及MS的发生率分别为43.95%、13.82%、14.83%、21.97%、10.86%。乙型肝炎肝硬化合并MS患者体重指数（BMI）、空腹血糖、高血压、总胆固醇、丙氨酸氨基转移酶（ALT）显著高于乙型肝炎肝硬化非MS患者（P值分别为0.03、0.03、0.04、0.02、0.01）。丙型肝炎肝硬化合并MS患者BMI、高血压、三酰甘油显著高于丙型肝炎肝硬化非MS患者（P值分别为0.04、0.04、0.02）。结论肝炎后肝硬化合并MS很常见，综合科学的护理方法可以提高患者的治疗效果，改善患者的生活质量。

Abstract: Objective To investigate the clinical features and nursing experiences of patients with liver cirrhosis patients and metabolic disorder syndrome who were in charged in Beijing Ditan Hospital, Captial Medical University. Methods The incidence rate and characteristics of metabolic disorders of 455 patients
with liver cirrhosis were retrospectively analyzed. Results The incidence of hyperglycemia, hypertension, hyperlipidemia, obesity and MS in liver cirrhosis patients were 43.95%, 13.82%, 14.83%, 21.97%, and 10.86%, respectively. The body mass index (BMI), fasting blood glucose, hypertension, total cholesterol and alanine aminotransferase (ALT) of hepatitis B patients with liver cirrhosis and MS were significantly higher than those of non-MS patients (P = 0.03, 0.03, 0.04, 0.02, 0.01, respectively). The BMI, hypertension, three glycerol of hepatitis C patients with liver cirrohosis and MS were significantly higher than those of non-MS patients (P = 0.04, 0.04, 0.02, respectively). Conclusions Liver cirrhosis complicated with MS are common, and the standard nursing method of liver cirrhosis with MS patients can improve the effect of treatment and the life quality of patients.

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