中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
5期
66-68
,共3页
非酒精性脂肪肝%冠状动脉性疾病%危险因素
非酒精性脂肪肝%冠狀動脈性疾病%危險因素
비주정성지방간%관상동맥성질병%위험인소
Nonalcoholic fatty liver disease%Coronary heart disease%Risk factors
目的 探讨非酒精性脂肪肝(NAFLD)与冠心病的相关性.方法 采用回顾性横断面研究方法分析经腹部B超证实有或无脂肪肝且行冠脉造影检查的患者761例,探讨NAFLD人群中冠心病发病情况及NAFLD与冠心痛的关系.结果 对入选人群进行年龄分层后分析显示,30岁以上人群冠心病、高血压痛、糖尿病发病率随年龄增加而增加,NAFLD发病率随年龄增加而降低.NAFLD组冠心病发病平均年龄较对照组提前.但Logistic回归分析显示,NAFLD与冠心病无明显相关,与年龄、体质量指数、三酰甘油、尿酸等显著相关(P<0.05或P<0.01).结论 30岁以上人群中NAFLD的发病率随年龄增加而降低;合并NAFLD人群的冠心病发病年龄前移;但未发现NAFLD与冠心病有明显相关性.
目的 探討非酒精性脂肪肝(NAFLD)與冠心病的相關性.方法 採用迴顧性橫斷麵研究方法分析經腹部B超證實有或無脂肪肝且行冠脈造影檢查的患者761例,探討NAFLD人群中冠心病髮病情況及NAFLD與冠心痛的關繫.結果 對入選人群進行年齡分層後分析顯示,30歲以上人群冠心病、高血壓痛、糖尿病髮病率隨年齡增加而增加,NAFLD髮病率隨年齡增加而降低.NAFLD組冠心病髮病平均年齡較對照組提前.但Logistic迴歸分析顯示,NAFLD與冠心病無明顯相關,與年齡、體質量指數、三酰甘油、尿痠等顯著相關(P<0.05或P<0.01).結論 30歲以上人群中NAFLD的髮病率隨年齡增加而降低;閤併NAFLD人群的冠心病髮病年齡前移;但未髮現NAFLD與冠心病有明顯相關性.
목적 탐토비주정성지방간(NAFLD)여관심병적상관성.방법 채용회고성횡단면연구방법분석경복부B초증실유혹무지방간차행관맥조영검사적환자761례,탐토NAFLD인군중관심병발병정황급NAFLD여관심통적관계.결과 대입선인군진행년령분층후분석현시,30세이상인군관심병、고혈압통、당뇨병발병솔수년령증가이증가,NAFLD발병솔수년령증가이강저.NAFLD조관심병발병평균년령교대조조제전.단Logistic회귀분석현시,NAFLD여관심병무명현상관,여년령、체질량지수、삼선감유、뇨산등현저상관(P<0.05혹P<0.01).결론 30세이상인군중NAFLD적발병솔수년령증가이강저;합병NAFLD인군적관심병발병년령전이;단미발현NAFLD여관심병유명현상관성.
Objective To investigate the relationship between nonalcoholic fatty liver disease (NAFLD) and coronary artery disease(CAD).Methods In this cross-sectional study,the study group consisted of 763 patients who underwent coronary angiographies.The relationship between NAFLD and CAD was studied.Results Age-stratified analysis revealed that the incidences of coronary heart disease,hypertension,diabetes increased with age increased in people over the age of 30 years old.However,the incidence of NAFLD decreased with age increased in this population.The average onset age of coronary heart disease in the NAFLD group was younger than that in the control group.But Logistic regression analysis showed that NAFLD was not correlated with coronary heart disease,but NAFLD was significantly correlated with age,body mass index,triglycerides and uric acid (P < 0.05 or P <0.01).Conclusions The incidence of NAFLD decrease with age increase in people over the age of 30 years old; The average onset age of coronary heart disease in the NAFLD group is younger,but there is no significant relationship between NAFLD and coronary heart disease.