细菌感染诱发肝性脑病乙型肝炎肝硬化临床特点研究

Clinical characteristics of hepatitis B liver cirrhosis patients with bacterial infection-induced hepatic encephalopathy

  • 摘要: 目的 对慢性丙型肝炎病毒患者发生2型糖尿病进行流行病学调查,为降低患者发生率提供参考依据。方法 选取2015年1-8月医院诊治的444例慢性丙型肝炎感染患者,将66例慢性丙型肝炎感染发生2型糖尿病患者设置为试验组,选取378例慢性丙型肝炎感染未发生糖尿病患者为对照组,采用医院自拟问卷调查表对患者临床资料、生化指标、丙型肝炎病毒血清等指标进行统计,分析慢性丙型肝炎感染患者发生2型糖尿病的流行病学。结果 66例患者慢性丙型肝炎感染患者发生2型糖尿病中男性高于女性(P<0.05),城市患者显著高于农村患者(P<0.05),年龄段60岁以上患者显著高于其他年龄患者(P<0.05);慢性丙型肝炎感染患者2型糖尿病发生率与年龄、性别、户籍、饮酒史以及伴有脂肪肝关系密切(P<0.05);两组患者谷草转氨酶、谷丙转氨酶、碱性磷酸酶及血清白蛋白指标差异无统计学意义。结论 慢性丙型肝炎感染发生2型糖尿病在中老年人、城市居民以及合并脂肪肝患者中发生率较高,应该根据危险因素及流行病学制定有效措施,降低发生率。

     

    Abstract: OBJECTIVE To conduct the epidemiological survey of the chronic hepatitis C virus infection patients with type 2 diabetic mellitus so as to reduce the incidence rate. METHODS A total of 444 patients with chronic hepatitis C virus infection who were treated in hospitals from Jan 2015 to Aug 2015 were enrolled in the study, then 66 chronic hepatitis C virus infection patients with type 2 diabetic mellitus were assigned as the experimental group, and 378 chronic hepatitis C virus infection patients without diabetic mellitus were set as the control group. The statistical analysis of the indicators, including the clinical data, biochemical indicators, and hepatitis C virus serum, was performed by using the self-designed questionnaire, and the epidemiological characteristics of the chronic hepatitis C virus infection patients with type 2 diabetic mellitus were observed. RESULTS Among the 66 chronic hepatitis C virus infection patients with the type 2 diabetic mellitus, the proportion of the male patients was higher than that of the female patients (P<0.05); the proportion of the patients from urban area was higher than that of the patients from the rural area (P<0.05); the proportion of the patients aged more than 60 years old was higher than that of the patients in other age groups (P<0.05). The incidence of the type 2 diabetic mellitus in the patients with chronic hepatitis C virus infection was closely associated with the age, gender, registered permanent residence, drinking history, and complication of fatty liver (P<0.05). There was no significant difference in the aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, or serum albumin between the two groups of patients. CONCLUSION Among the patients with chronic hepatitis C virus infection, the incidence rate of type 2 diabetic mellitus is relatively high in the middle-aged patients, urban residents, or patients complicated with fatty liver.

     

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