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与酗酒相关的肝动脉疾病。

Hepatic artery disorders associated with alcoholism.

机构信息

Department of Surgery, School of Medicine, Federal University of Minas Gerais, Brazil.

出版信息

J Int Med Res. 2023 Feb;51(2):3000605231153547. doi: 10.1177/03000605231153547.

Abstract

OBJECTIVE

We aimed to characterize the relationship between severe chronic alcoholism and hepatic arterial wall disorders in humans.

METHODS

We obtained hepatic arteries from 165 patients undergoing liver transplantation who were placed into two etiological groups: an Alcoholism group and a Non-alcoholism group. We compared the age, sex, lipid profile, and histologic characteristics of the hepatic arteries (normal, reduction in luminal diameter of ≤10%, or atherosclerosis) of the participants in the two groups using multifactor analyses.

RESULTS

The Alcoholism group comprised 58 men and 40 women and the Non-alcoholism group comprised 63 men and 4 women. The mean ages of the groups were 52.5 ± 9.6 years and 44.2 ± 13.8 years, respectively. There were no circulating lipid abnormalities in any of the participants. In women, arterial disorders were found at a younger age than in men. Hepatic arterial disorders were more frequent in the non-alcoholic participants, and women with alcoholism showed less arterial narrowing.

CONCLUSION

The heavy consumption of alcoholic beverages is associated with a lower incidence of atherosclerosis of the hepatic artery in humans.

摘要

目的

我们旨在描述人类严重慢性酒精中毒与肝动脉壁障碍之间的关系。

方法

我们从 165 名接受肝移植的患者中获得肝动脉,将其分为两个病因组:酒精中毒组和非酒精中毒组。我们使用多因素分析比较了两组患者的年龄、性别、血脂谱和肝动脉的组织学特征(正常、管腔直径减少≤10%或动脉粥样硬化)。

结果

酒精中毒组包括 58 名男性和 40 名女性,非酒精中毒组包括 63 名男性和 4 名女性。两组的平均年龄分别为 52.5±9.6 岁和 44.2±13.8 岁。所有参与者均无循环脂质异常。在女性中,动脉疾病的发生年龄比男性早。非酒精性参与者的肝动脉疾病更为常见,而酒精中毒的女性动脉狭窄程度较低。

结论

大量饮酒与人类肝动脉粥样硬化的发生率较低有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/577b/9909056/b5fe4bc013d3/10.1177_03000605231153547-fig1.jpg

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