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超声检查中非酒精性脂肪肝分级与血液参数的相关性

Correlation of Grades of Non-alcoholic Fatty Liver on Ultrasound With Blood Parameters.

作者信息

Zafar Uffan, Ahmad Muhammad Nadeem, Nadeem Naila, Muhammad Zohaib Uddin Mallick, Zafar Burhan, Baig Shazia, Zafar Fariha, Pervez Hafsa, Akram Saba

机构信息

Radiology, Aga Khan University Hospital, Karachi, PAK.

Epidemiology and Public Health, Quaid-e-Azam Medical College, Bahawalpur, PAK.

出版信息

Cureus. 2024 Jan 27;16(1):e53075. doi: 10.7759/cureus.53075. eCollection 2024 Jan.

DOI:10.7759/cureus.53075
PMID:38414673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896709/
Abstract

Introduction Non-alcoholic fatty liver disease (NAFLD) is the most prevalent liver condition worldwide. NAFLD has been associated with metabolic syndrome and its symptoms, such as type 2 diabetes, hypertension, dyslipidemia, and obesity. Ultrasound is widely used to grade hepatic steatosis, being the most cost-effective, non-invasive, and readily available modality without radiation exposure. The study aimed to assess the correlation of NAFLD grade as seen on ultrasound with blood parameters in a Pakistani population. Materials and methods The included patients were those who were diagnosed with fatty liver disease on ultrasound and whose laboratory tests were available within two weeks of the ultrasound. Two seasoned radiologists rated the severity of NAFLD after looking over ultrasound scans. Consecutive sampling technique was used to minimize selection bias. The degree and direction of the linear relationship between the NAFLD grade and each biochemical parameter were measured using the Pearson correlation coefficient. Results There were 207 patients in all who had been identified with NAFLD on ultrasound, the majority of whom had grade II NAFLD and were in their sixth decade of life. According to Pearson's analysis, the grade of NAFLD had larger positive associations with triglycerides, total cholesterol, low-density lipoprotein, and fasting blood sugar. High density lipoprotein and C-reactive protein were found to have a negative correlation with the grade of NAFLD. Conclusion The findings of the study highlight the correlation between NAFLD grade on ultrasonography and specific blood parameters, implying that managing these biochemical indicators may help to improve hepatic steatosis.

摘要

引言

非酒精性脂肪性肝病(NAFLD)是全球最常见的肝脏疾病。NAFLD与代谢综合征及其症状相关,如2型糖尿病、高血压、血脂异常和肥胖。超声广泛用于评估肝脂肪变性程度,是最具成本效益、无创且易于获得的检查方式,无辐射暴露。本研究旨在评估巴基斯坦人群中超声检查所见的NAFLD分级与血液参数之间的相关性。

材料与方法

纳入的患者为超声诊断为脂肪性肝病且超声检查后两周内有实验室检查结果的患者。两位经验丰富的放射科医生在查看超声扫描后对NAFLD的严重程度进行评级。采用连续抽样技术以尽量减少选择偏倚。使用Pearson相关系数测量NAFLD分级与每个生化参数之间线性关系的程度和方向。

结果

共有207例患者经超声诊断为NAFLD,其中大多数为II级NAFLD,年龄在六十多岁。根据Pearson分析,NAFLD分级与甘油三酯、总胆固醇、低密度脂蛋白和空腹血糖呈较大正相关。高密度脂蛋白和C反应蛋白与NAFLD分级呈负相关。

结论

本研究结果突出了超声检查的NAFLD分级与特定血液参数之间的相关性,这意味着管理这些生化指标可能有助于改善肝脂肪变性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/8a7419b9692a/cureus-0016-00000053075-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/ed563e044fdc/cureus-0016-00000053075-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/646f33ddadea/cureus-0016-00000053075-i02.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/e1d02a7d5d06/cureus-0016-00000053075-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/8a7419b9692a/cureus-0016-00000053075-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/ed563e044fdc/cureus-0016-00000053075-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/646f33ddadea/cureus-0016-00000053075-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/0e20a96cfdae/cureus-0016-00000053075-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/e1d02a7d5d06/cureus-0016-00000053075-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288c/10896709/8a7419b9692a/cureus-0016-00000053075-i05.jpg

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本文引用的文献

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