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240例DM患者根据B超检查分为DM合并胆囊炎与DM组。同期的非DM胆囊炎患者60例作为对照。结果(1)DM合并胆囊炎的发病率为30.8%;(2)DM患者的年龄、病程、体重、BMI、WHR、FINS、PINS、TC、TG、HOMA-IR,血糖水平与DM并胆囊炎组比较,无统计学意义;(3)DM胆囊炎患者与非DM胆囊炎比较HOMA-IR无统计学意义,两组间餐后胰岛素水平差异有统计学意义;(4)DM并脂肪肝与非脂肪肝组比较,DM并脂肪肝组胆囊炎的发病率高。结论(1)DM并胆囊炎与年龄、BMI、WHR、TC密切相关;(2)IR可能在DM并胆囊炎的发病中起作用;(3)有脂肪肝的DM患者胆囊炎的发病率更高。
240 DM patients were divided into DM with cholecystitis and DM according to B-ultrasound. The same period of non-DM cholecystitis in 60 patients as a control. Results (1) The incidence of DM with cholecystitis was 30.8%. (2) The age, course of disease, body weight, BMI, WHR, FINS, PINS, TC, TG, HOMA-IR, DM and cholecystitis (3) HOMA-IR in patients with DM cholecystitis was not statistically significant compared with non-DM cholecystitis, and there was a significant difference in postprandial insulin levels between the two groups. (4) DM and fatty liver Compared with non-fatty liver group, the incidence of cholecystitis in DM and fatty liver group was high. Conclusions (1) DM and cholecystitis are closely related to age, BMI, WHR and TC; (2) IR may play a role in the pathogenesis of DM and cholecystitis; (3) the incidence of cholecystitis in patients with fatty liver is more high.