CAJ | 학술논문

目的：分析住院的酒精性肝病患者临床疾病的特点。方法对近10年收治的4379例各种酒精性肝病患者的疾病构成情况进行分析。结果2002年住院的酒精性肝病患者占住院的肝病患者的比例为1.74%，2006年为2.89%，2011年为4.18%，10年间上升了2.4倍；在酒精性肝病患者中，男性占97.69%（4278/4379）；酒精性肝硬化、酒精性肝病（未分类）、轻症酒精性肝炎为3种最常见的病种，分别占70.66%、10.44%和9.96%，而重症酒精性肝炎、酒精性肝衰竭和酒精性脂肪肝占比为4%左右；酒精性肝硬化患者平均年龄为49.6岁，而酒精性肝病重叠非酒精性脂肪性肝病患者平均年龄为36.9岁，两者差异有统计学意义（P<0.01）；轻症酒精性肝炎和酒精性脂肪肝治愈率分别为80.28%和91.58%，而重症酒精性肝炎为47.78%，差异有统计学意义（P<0.01）。结论住院的酒精性肝病患者占住院肝病患者的比例在不断上升，须重视对男性人群和疾病的早期干预。
목적：분석주원적주정성간병환자림상질병적특점。방법대근10년수치적4379례각충주정성간병환자적질병구성정황진행분석。결과2002년주원적주정성간병환자점주원적간병환자적비례위1.74%，2006년위2.89%，2011년위4.18%，10년간상승료2.4배；재주정성간병환자중，남성점97.69%（4278/4379）；주정성간경화、주정성간병（미분류）、경증주정성간염위3충최상견적병충，분별점70.66%、10.44%화9.96%，이중증주정성간염、주정성간쇠갈화주정성지방간점비위4%좌우；주정성간경화환자평균년령위49.6세，이주정성간병중첩비주정성지방성간병환자평균년령위36.9세，량자차이유통계학의의（P<0.01）；경증주정성간염화주정성지방간치유솔분별위80.28%화91.58%，이중증주정성간염위47.78%，차이유통계학의의（P<0.01）。결론주원적주정성간병환자점주원간병환자적비례재불단상승，수중시대남성인군화질병적조기간예。
Objective To analyze the clinical features of inpatients with alcoholic liver diseases(ALD). Methods Clinical data of inpatients with alcoholic liver diseases in our hospital from 2002 to 2011 were ana-lyzed. Results The ratio of patients with ALD to total inpatients with liver diseases was 1.74% in 2002 and 2.89%in 2006,and it reached to 4.18% in 2011,a 2.4-fold increase in ten years;The percentage of male patients was 97.69%(4278/4379);Patients diagnosed as alcoholic cirrhosis,ALD (without classification) and mild alcoholic hep-atitis accounted for about 70.66%,10.44% and 9.96% of all ALD patients,and only about 4% of patients were diagnosed as severe alcoholic hepatitis or alcoholic liver failure or alcoholic steatosis (P<0.01);The average age of patients with alcoholic cirrhosis was 49.6 year-old,significantly greater than that in patients with ALD complicated by non-alcoholic fatty liver disease(36.9 year-old,P<0.01);The recovery rates in patients with mild alcoholic hep-atitis and alcoholic steatosis were 80.28% and 91.58%,respectively,significantly higher than that in patients with severe alcoholic hepatitis(47.78%,P<0.01). Conclusions The ratio of ALD inpatients to total inpatients with liver diseases is increasing gradually and more attention should be pay to male patients and patients with mild ALD to prevent disease progress.