老年人非酒精性脂肪性肝病

A B Krivosheev, A D Kuimov, K V Popov, M A Kondratova, T A Tuguleva, P A BoGoryanova
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引用次数: 0

摘要

目的:探讨老年人非酒精性脂肪性肝病(NAFLD)的临床病程和代谢紊乱。对象和方法:研究了153例NAFLD患者,其中男性97例,女性56例。对比研究NAFLD的临床表现。所有患者均为首次确诊NAFLD。我们研究了肝功能、脂质、碳水化合物和卟啉代谢、胰岛素抵抗的功能状态。结果:发现共病病理,以老年患者为主。脂质代谢紊乱和胰岛素抵抗在年轻患者中更为显著。多数患者有卟啉代谢障碍。疾病是可变的。起初多以年轻人为主,另一方面更常在老年患者中观察到派(后期)卟啉代谢紊乱。结论:研究表明,NAFLD(胰岛素抵抗和血脂异常)形成的主要病理生理和发病过程在年轻患者中更为明显。这一事实表明NAFLD主要在年轻时形成。老年患者有共病病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
NON-ALCOHOLIC FATTY LIVER DISEASE IN ELDERLY.

Aim: The study of the clinical course and metabolic disorders in patients nonalcoholic fatty liver disease (NAFLD) elderly.

Subjects and methods: 153 patients with NAFLD was investigated, including 97 men and 56 women. In comparative terms we studied clinical manifestations of NAFLD. All patients NAFLD was verified for the first time. We studied the functional state of the liver function, lipid, carbohydrate and porphyrin metabolism, insulin resistance.

Results: Revealed comorbid pathology, which is predominantly observed in elderly patients. Disturbances in lipid metabolism and insulin resistance hyperinsulinemiya and proved to be more significant in young patients. Disorders of porphyrin metabolism observed in most patients. Disorders are variable. Do young people have dominated the initial disorder, on the other hand more often in elderly patients were observed faction (later) porphyrin metabolism disorders.

Conclusion: Studies suggest that the main pathophysiologic and pathogenetic processes of formation of NAFLD (insulin resistance and dyslipidemia) significantly more pronounced in younger patients. This fact suggests that NAFLD is mainly formed at a young age. Elderly patients have comorbid pathology.

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