绝经后女性2型糖尿病患者合并脂肪肝的影响因素研究

doi:10.3969/j.issn.1006-6233.2018.02.031

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摘要 目的: 分析绝经后2型糖尿病患者合并脂肪肝的影响因素。方法: 收集2012年10月至2014年10月住院患者的一般状况、生活习惯、自我管理等资料,选取136例绝经后2型糖尿病合并脂肪肝患者作为观察组,138例绝经后单纯2型糖尿病患者作为对照组。对比两组资料的差异。结果: 两组患者高脂饮食、高糖饮食及体育锻炼、自我管理指标比较差异有统计学意义(P<0.05)。多因素logistic回归分析:高脂饮食(OR＝2.324,95%CI＝1.409~3.833)、高糖饮食(OR＝1.866,95%CI＝1.118~3.114)是发生脂肪肝的危险因素。结论: 绝经后2型糖尿病患者合并脂肪肝的影响因素有饮食习惯、体育锻炼、自我管理,高糖高脂饮食是发生脂肪肝的危险因素。

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关键词 ：绝经后女性, 2型糖尿病, 脂肪肝, 影响因素

Abstract：Objective: To analyze the influencing factors of fatty liver in type 2 diabetic patients with Postmenopausal. Methods: From October 2012 to October 2014, the general condition, lifestyle and self-management data of hospitalized patients were collected. 136 cases of postmenopausal type 2 diabetes mellitus with fatty liver were selected as observation group, and 138 cases of postmenopausal patients with type 2 diabetes mellitus as control group. The differences of the data between the two groups were compared. Results: There was significant difference between the two groups of high fat diet, high sugar diet, physical exercise and self management index (P < 0.05). Multivariate logistic regression analysis showed that high fat diet (OR = 2.324, 95%CI = 1.409 to 3.833) and high carbohydrate diet (OR = 1.866, 95%CI = 1.118 to 3.114) were risk factors for fatty liver. Conclusions: The influencing factors of fatty liver in postmenopausal patients with type 2 diabetes are diet habits, physical exercise and self-management. High glucose and high-fat diet are risk factors for fatty liver.

Key words： Postmenopausal women Type 2 diabetes Fatty liver Influencing factors

基金资助:河北省承德市科技计划项目,(编号:201422015)

通讯作者: 高宇

引用本文:

葛晓春, 王英南, 高宇, 刘晓燕, 王旭泽. 绝经后女性2型糖尿病患者合并脂肪肝的影响因素研究[J]. 河北医学, 2018, 24(2): 293-296.
GE XiaoChun, WANG YingNan, GAO Yu, et al. Study on the Factors of Influencing Fatty Liver in PostmenopausalWomen Complicated with Type 2 Diabetes. HeBei Med, 2018, 24(2): 293-296.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.02.031 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I2/293