达斡尔族酒精性脂肪肝23例临床诊治分析

Daur alcoholic fatty liver clinical analysis of 23 cases

目的 探讨莫力达瓦达斡尔族自治旗达斡尔族酒精性脂肪肝的临床病情变化、防治及危险因素.方法 参照2010年《酒精性肝病诊疗指南》（中华医学会肝病学分会、脂肪肝和酒精性肝病学组修订）,回顾性分析2012年10月～2013年2月在莫旗人民医院就诊的23例达斡尔族及25例汉族酒精性脂肪肝患者的临床资料,对两民族的饮酒年限、日饮酒量及肝功能结果进行对比分析.结果 两民族患者饮酒年限比较无显著差异,平均日饮酒量达斡尔族患者显著高于汉族患者（P＜0.05）;两民族患者肝功能检查中AST相比较无显著差异;ALT、GGT相比较达斡尔族患者高于汉族患者（P＜0.05）.结论 达斡尔族酒精性脂肪肝患病与该民族长期大量饮酒、肥胖、难戒酒状态有关,且可能存在遗传特征.随着饮酒时间及每日饮酒量的增加,病情有加重趋势.

Objective To investigate the Morin Dawa Daur Autonomous Banner Daur alcoholic fatty clinical condition changes, prevention and risk factors. Methods Refer to 2010 alcoholic liver disease treatment guidelines （Chinese Medical Association Hepatology,fatty liver and alcoholic liver disease study group revised）, retrospective analysis from October 2012 to February 2013 in Mozambique flag People＇s hospital 23 cases and 25 cases Daur Han alcoholic fatty liver clinical data on two national drinking age , daily alcohol consumption and liver function results comparative analysis. Results Two national patient drinking age showed no significant difference in average daily alcohol con sumption Daur patients was significantly higher than Han patients （P〈0.05） ; Two ethnic AST liver function tests corn pared with no significant difference;ALT, GGT compared Daur patients than Han patients （P〈0.05）. Conclusion Daur alcoholic fatty liver disease and the national long-term heavy drinking, obesity, difficult state of abstinence, and there may be genetic characteristics. And with the time and the daily drinking alcohol consumption increases, the condition has aggravated the trend.