乙型和丙型肝炎后肝硬化与糖尿病的关系

The Relationship of Post-hepatitis B Cirrhosis and Post-hepatitis C Cirrhosis with Diabetes Mellitus

乙型肝炎后肝硬化和丙型肝炎后肝硬化与糖尿病密切相关。一方面,乙型肝炎后肝硬化和丙型肝炎肝硬化会导致糖尿病,此类糖尿病为肝源性糖尿病。另一方面,糖尿病又会导致慢性乙型肝炎和慢性丙型肝炎进展为肝硬化,并使其进一步发生发展。且导致肝硬化并发症(感染、肝性脑病等)的发生率及病死率升高,同时糖尿病可能与乙型肝炎后肝硬化和丙型肝炎后肝硬化进展为肝癌密切相关。

Post-hepatitis B cirrhosis and post-hepatitis C cirrhosis are closely associated with diabetes mellitus. On one hand,post-hepatitis B cirrhosis and post-hepatitis C cirrhosis can lead to diabetes mellitus,which is called hepatic diabetes. On the other hand,diabetes may lead to chronic hepatitis B and C progress to post-hepatitis cirrhosis,and make its further deteriorate,and increase the incidence of its complications( infection,hepatic encephalopathy,etc.) and mortality. At the same time,diabetes mellitus may be closely associated with post-hepatitis B cirrhosis and post-hepatitis C cirrhosis progressing to hepatocellular carci-noma.