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代谢综合征对肝移植受者生活质量的影响。

Impact of metabolic syndrome on quality of life of liver transplant recipients.

作者信息

Wang Zhenshun, Li Ning, Lin Dongdong

机构信息

Beijing You An Hospital, Capital Medical University, Xitoutiao, Outer You'anmen, Fengtai District, Beijing, China.

出版信息

J Int Med Res. 2018 Sep;46(9):3778-3787. doi: 10.1177/0300060518779513. Epub 2018 Jun 12.

Abstract

Objective The incidence of metabolic syndrome (MS) increases after liver transplantation. This study was performed to evaluate the impact of MS on patients' quality of life after liver transplantation. Methods We collected the medical records of 152 patients during their post-liver transplantation outpatient follow-up. Quality of life was assessed using the Medical Outcomes Study 36-Item Short Form Health Survey. Data on the patients' general condition as well as MS-related indicators were assessed in all patients. Based on the MS diagnostic criteria proposed by the International Diabetes Federation in 2005, the patients were divided into two groups: those with and without MS. We then analyzed the factors influencing MS and their impact on the patients' quality of life. Results After liver transplantation, age and underlying liver disease were significantly associated with MS and diabetes, and sex and body mass index were associated with central obesity. Central obesity affected the patients' general health (GH) score and health transition (HT) score, and hypertension affected their GH score and physical component score (PCS). Conclusions After liver transplantation, central obesity had a negative impact on patients' GH score and HT score, and hypertension affected their GH score and PCS.

摘要

目的 肝移植术后代谢综合征(MS)的发病率会升高。本研究旨在评估MS对肝移植术后患者生活质量的影响。方法 我们收集了152例患者肝移植术后门诊随访期间的病历。使用医学结局研究36项简式健康调查评估生活质量。对所有患者的一般状况以及与MS相关的指标数据进行评估。根据2005年国际糖尿病联盟提出的MS诊断标准,将患者分为两组:患有MS和未患有MS的患者。然后我们分析了影响MS的因素及其对患者生活质量的影响。结果 肝移植术后,年龄和潜在肝脏疾病与MS及糖尿病显著相关,性别和体重指数与中心性肥胖相关。中心性肥胖影响患者的总体健康(GH)评分和健康转变(HT)评分,高血压影响其GH评分和身体成分评分(PCS)。结论 肝移植术后,中心性肥胖对患者的GH评分和HT评分有负面影响,高血压影响其GH评分和PCS。

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