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选择我院2009年1-12月的130例糖尿病住院患者进行,根据腹部B超结果分为合并NAFLD组70例,不合并NAFLD组60例。结果:与不合并NAFLD组比较,合并NAFLD的2型糖尿病的体重指数(BMI),血甘油三脂(TG),低密度脂蛋白(LDL-C)显著增高(P均<0.05),同时高密度脂蛋白(HLD-L)显著降低(P<0.05)。结论:2型糖尿病患者合并非酒精性脂肪肝,与肥胖,HbA1c升高,血脂紊乱相关,而与糖尿病病程,血糖控制程度,年龄不相关,导致糖尿病合并非酒精性脂肪肝的最主要原因为胰岛素抵抗及其所包含的脂代谢紊乱。
130 hospitalized patients with diabetes mellitus in our hospital from January to December in 2009 were selected. According to the result of abdominal ultrasonography, 70 cases were divided into NAFLD group and 60 cases without NAFLD group. Results: BMI, TG and LDL-C of type 2 diabetes mellitus with NAFLD were significantly higher than those without NAFLD (all P <0.05) The density lipoprotein (HLD-L) was significantly lower (P <0.05). Conclusion: Type 2 diabetes with non-alcoholic fatty liver disease is associated with obesity, elevated HbA1c and dyslipidemia, but not with diabetes duration, blood glucose control and age, leading to diabetes with non-alcoholic fatty liver Insulin resistance and lipid metabolism disorders it contains.