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目的探讨非酒精性脂肪性肝病(NAFLD)患者肝功能与颈动脉内-中膜厚度(CIMT)的相关性。方法检测70例NAFLD患者和40例健康对照者血清ALT、AST、γ-GT、DBil、TBil;采用彩色多普勒超声测量CIMT,CIMT≥0.8 mm者判定为CIMT增厚。结果 NAFLD组CIMT增厚率为55.7%(39/70),显著高于健康对照组27.5%(11/40)(P<0.01);NAFLD组肝功能参数与CIMT行多元线性回归分析,仅γ-GT入选方程,CIMT=0.615+0.004×-γGT;Logistic多元回归分析显示,γ-GT是CIMT增厚的独立危险因素(P<0.01)。结论 NAFLD患者常伴有CIMT增厚,CIMT与-γGT呈正相关;升高的γ-GT可能是NAFLD患者CIMT增厚的危险因素。
Objective To investigate the correlation between liver function and carotid artery intima - media thickness (CIMT) in patients with nonalcoholic fatty liver disease (NAFLD). Methods Serum ALT, AST, γ-GT, DBil and TBil were detected in 70 patients with NAFLD and 40 healthy controls. CIMT was measured by color Doppler ultrasound and CIMT was measured by CIMT≥0.8 mm. Results The thickening rate of CIMT in NAFLD group was 55.7% (39/70), significantly higher than that in healthy control group (27.5%, 11/40) (P <0.01). The multiple linear regression analysis of liver function parameters and CIMT in NAFLD group was only γ -GT inclusion equation, CIMT = 0.615 + 0.004 × -γGT; Logistic multiple regression analysis showed that γ-GT was an independent risk factor for CIMT thickening (P <0.01). Conclusions Patients with NAFLD often have thickening of CIMT and positive correlation between CIMT and -γGT. Elevated γ-GT may be a risk factor for CIMT thickening in patients with NAFLD.