WOMENZHIDAO,FEIPANGHEFEIJIUJINGXINGZHIFANGGANJIBING(NAFLD)DEFABINGLVZAIBUDUANZENGJIA,SUIRANTONGCHANGZAIFEIPANGHUANZHEZHONGGANZHIFANGBIANXINGGENGRONGYIFASHENG,DANDUIYUMEIYOUDIANXINGWEIXIANYINSUDESHOUROUHUANZHE,GANZHIFANGBINGBIANSHIFOUYEHUIFASHENGNI,ZHEIYOUDAIJINYIBUDETANJIU。YINCI,ZAIBENXIANGYANJIUZHONGYANJIURENYUANZHIZAIQUEDINGZAITISHOUHUANZHEZHONGGANZHIFANGBIANXINGDEFASHENGLVHEWEIXIANYINSU。
YANJIURENYUANHUIGUXINGSHOUJIWEIFASHENGBINGDUXINGGANYANQIEBMI≤25 kg/m2DETISHOUHUANZHE,TONGGUOSHUNSHIDANXINGCHENGXIANGJINXINGGANYINGDUCELIANG(LSM)HESHOUKONGSHUAIJIANCANSHU(CAP)DECELIANG。
ZUIHOUYOU218MINGHUANZHEBEINARUBENXIANGYANJIU,QIZHONG34.5%DEHUANZHEXIANSHICHUGANZHIFANGBIANXING(CAP≥268FENBEI/MI),GANZHIFANGBIANXINGHUANZHEDE GUXIANZHUANTAIMEI(GGT) JIAOGAO(238.0 vs.112.1IU/mL; p= 0.013),AST(63(±67.4)vs.38.5(±32.9)IU / mL; p ?= 0.001)HEALT(59.1(±58.8)vs. 44.3(±52.7)IU / mL; p ?= 0.048)YEJUNJIAOGAO,BINGXIANSHIQUYUGENGYANZHONGDEXIANWEIHUADEQUSHI(LSM 15.6(±19.5)vs. 12.0(±15.7)kPa; p?= 0.115),ZAIDUOYUANHUIGUIFENXIZHONG,ZHIYOUXUEQINGNIAOSUANSHUIPINGYUGANZHIFANGBIANXINGDULIXIANGGUAN(ORWEI1.43 /MEIDANWEImg / dL; 95%CI 1.001–2.054;p = 0.049)。ZAI38.9GEYUEDEPINGJUNSUIFANGQIJIAN,14LIHUANZHE(5.0%)SIWANG。ZAIMEIYOUWANQIXIANWEIHUADEQINGKUANGXIA,WUZHIFANGBIANXING(98.7%)HEZHIFANGBIANXING(98.6%)DEHUANZHEZAI1NIANHOUDECUNHUOLVXIANGSI。
ZUIHOUYANJIURENYUANSHUODAO:XUEQINGNIAOSUANSHUIPINGGAOHUIZENGJIASHOUHUANZHEGANZHIFANGBIANXINGDEFENGXIAN。GANXIANWEIHUAERFEIGANZHIFANGBIANXINGSHISHOURUOHUANZHESHENGCUNSHOUSUNDEWEIXIANYINSU。
YUANSHICHUCHU:
Lukas W. Unger. Et al. Hepatic Steatosis in Lean Patients: Risk Factors and Impact on Mortality. Digestive Diseases and Sciences.2020.