摘要
目的探讨糖尿病性肝病患者的发病规律、临床特点和治疗方法。方法本研究采用回顾性调查疗法对2005年3月至2007年3月弋饥山院的糖尿病性肝病患者进行临床分析。结果20例糖尿病性肝病患者男性12例（60％），女性8例（40％）．脂肪肝15（75％）例；药物性肝损害5（25%）例。Ⅰ型糖尿病2例（10％），Ⅱ型糖尿病18例（90％），糖尿病病程大多为1-5年。16例（80%）患者无典型肝病症状。肝功能轻度损害11（55％）例，血糖重度升高者12（60％）例。经治疗后肝功能改善明显，且与血糖的下降呈一致性，16（80％）例患者好转出院。结论糖尿病性肝病最常见为脂肪性肝病，其肝功能损害轻微，血错升高明显，肝功能随着血糖的下降而得到改善。治疗以控制精尿病为主．大多数患者预后较好。
Objective TO explore the pathogenesis, clinical features and treatment of diabetic liver disease. Methods The retro-spective analysis was performed in 20 inpatienls who were diagnosed as diahetie liver disease in yijishan hospital during Mar. 21305 and 2007. Results 12 case were male（60%）, 8 cases were female（40%） in 20 patients with diabetic liver disease,15 cases had fatty liver（75%）,5 ease had drug induced liver disease（25%）, 2 eases had type 1 d iatetes（10%）,18 casea had type 2 diabetes（90%）, the history of diabetes mostly was 1-5 years. 16 eases had not typical symptom of liver disease （80%）. 11 cases had mild liver function damage （55%）,the blood glucose of 12 cases increased signigicantly （60%）. The patients＇liver function declined gradually down to normal in accordance with the recovery of blood glucose after treatment（P〈0.05,16 eases discharged after the condition improved（80%）.Conclusion Fatty liver disease is the most common one in diabetic liver disease,the liver function damage is mild and the blood glucose increases signifieantiy, As the level of blood glucose become normal, the liver function gets to be improved. It＇s the key to control diahetes for treatment anti most patients are improved at last.
