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时间:2020-05-24
《非酒精性单纯性脂肪肝 FibroScan 值与代谢参数的相关性研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、E医药2014年6月第36卷第11期Hebei』鱼旦:!161ldoi:10.3969/j.issn.1002—7386.2014.11.003·论著·非酒精性单纯性脂肪肝FibroScan值与代谢参数的相关性研究李岩杨涛田海燕王亚珍【摘要】目的应用瞬时弹性成像技术(FibroScan)对非酒精性单纯性脂肪肝(NAFL)患者肝脏硬度(E)及受控衰减系数(CAP)进行检测及分析。方法选取NAFL患者729例及正常健康人300例,均行腹部超声检查、实验室检查及FibroScan测量E及CAP值。结果NAFL组临床资料各项
2、数值均高于对照组(P<0.O1),E值与丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、CAP呈正相关(P<0.05),与总胆固醇(TC)、高密度脂蛋白胆固醇(HDL.C)呈负相关(P<0.01),CAPTM值三酰甘油(TG)、空腹血糖(FPG)、高密度脂蛋白胆固醇(HDL—C)、硬度值(E)呈正相关(P<0.05)。不同人群特征对失败率存在影响:失败率随BMI升高而升高,老年人测量失败率高于年轻人,女性失败率高于男性,肋间隙狭窄者失败率高(P均<0.01)。结论FibroScan是目前唯一完全无创、无痛、
3、对肝脏无损伤的评估与监测脂肪肝的量化工具,对脂肪定量具有较高的敏感度和准确度,对脂肪肝的诊断及定期跟踪随访具有较高的价值。【关键词】瞬时弹性成像;非酒精性单纯性脂肪肝【中图分类号】R322.4【文献标识码】A【文章编号】1002—7386(2014)11—1611一o4StudyonthecorrelationbetweenFibroScanvalueandmetabolicparametersinpafien~withnonalcoholicfattyliverL/Yan,YANGTao,TIANHaiyan,et
4、a1.PhysicalExaminationCenter,HebeiPr~incialPeople’sHo@ital,Shijiazhuang050051,China【Abstract】objectiveUsingtransientelastography(FibroScan)todetectliverstiffness(E)andcontrolledattenuationcoefficient(CAPTM)inpatientswithnonalcoholicfattyliver(NAFL),andtoexplore
5、thecorrelationbetweenFibroScanvalueandmetabolicparameters.MethodsThe729patientswithNAFL(NAFLgroup)and300healthysubjects(controlgroup)receivedabdominalultrasoundexamination,laboratoryexaminationandFibroScanmeasurementforEandCAPTMvalue.ResultsTheclinicalparameter
6、sinNAFLgroupweresignificantlyhigherthanthoseincontrolgroup(P<0.01).TheEvalueinNAFLgroupwaspositivelycorelatedtoalanineaminotransferase(ALT),aspartateaminotransferase(AST),CAP,however,whichwasnegativelycorrelatedwithtotalcholesterol(TC),highdensitylipoproteincho
7、lesterol(HDL—C)(P<0.01).CAPTMvaluewaspositivelycorelatedtotriglycerides(TG),fastingbloodglucose(FPG),highdensitylipoproteincholesterol(HDL—C),hardness(E)(P<0.05).Thecharacteristicsindifferentpopulationhadimpactonfailurerate。failureratewasincreasedwiththeincreas
8、eofBMI,moreover,themeasurementfailurerateintheelderlywashigherthanthatinyoungpeople,whichinfemaleswashigherthanthatinmales,especiallythepatientswithintercostalspacenarrowhad
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