首页|腹部脂肪CT参数及血清SAA、GP73水平与非酒精性脂肪性肝病严重程度的相关性

腹部脂肪CT参数及血清SAA、GP73水平与非酒精性脂肪性肝病严重程度的相关性

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目的:分析腹部脂肪CT参数及血清淀粉样蛋白(SAA)、高尔基体蛋白73(GP73)水平与非酒精性脂肪性肝病(NAFLD)严重程度的相关性.方法:回顾性分析 2022 年 1 月至 2023 年 9 月该院收治的 63 例NAFLD患者的临床资料,设为研究组,选取同期63 名健康体检者作为对照组,比较两组及不同病情严重程度NAFLD患者腹部脂肪CT参数[内脏脂肪面积(VAA)、总脂肪面积(TAA)、总肌肉面积(SMA)、肝脾CT值比值(CTL/S)]及血清SAA、GP73 水平,采用Spearman分析腹部脂肪CT参数及血清SAA、GP73 水平与NAFLD病情严重程度的相关性.结果:研究组VAA、TAA、SMA及血清SAA、GP73 水平均高于对照组,CTL/S小于对照组,差异有统计学意义(P<0.05);不同病情严重程度NAFLD患者VAA、TAA、SMA及血清SAA、GP73 水平比较:重度患者>中度患者>轻度患者;不同病情严重程度患者CTL/S比较:轻度患者>中度患者>重度患者,差异有统计学意义(P<0.05);经Spearman相关性分析结果显示,VAA、TAA、SMA及血清SAA、GP73 水平与NAFLD病情严重程度均呈正相关(r>0,P<0.05),CTL/S与NAFLD病情严重程度呈负相关(r<0,P<0.05).结论:腹部脂肪CT参数及血清SAA、GP73 水平与NAFLD病情严重程度存在相关性.
Correlations among abdominal fat CT parameters,serum SAA and GP73 levels and severity of non-alcoholic fatty liver disease
Objective:To analyze correlations among abdominal fat CT parameters,serum amyloid A(SAA)and golgi protein 73(GP73)levels and severity of non-alcoholic fatty liver disease(NAFLD).Methods:The clinical data of 63 patients with NAFLD admitted to this hospital from January 2022 to September 2023 were retrospectively analyzed and they were set as the study group;and 63 healthy subjects were selected as the control group.The abdominal fat CT parameters[visceral fat area(VAA),total fat area(TAA),skeletal muscle area(SMA),CT value of liver and spleen(CTL/S)]and serum SAA and GP73 levels were compared between the two groups and patients with different severities of NAFLD.Spearman was used to analyze the correlations among the abdominal fat CT parameters,the serum SAA and GP73 levels and the severity of NAFLD.Results:The levels of VAA,TAA,SMA and the serum SAA and GP73 levels in the study group were higher than those in the control group,while the CTL/S value was lower than that in the control group,and the differences were statistically significant(P<0.05).The comparison of VAA,TAA,SMA and the serum SAA and GP73 levels in the NAFLD patients with different severities of NAFLD showed that:severe patients>moderate patients>mild patients;the comparison of CTL/S values among the patients with different severities of NAFLD showed that:mild patients>moderate patients>severe patients;and the differences were statistically significant(P<0.05).The Spearman correlation analysis showed that the levels of VAA,TAA,SMA,serum SAA,and GP73 were positively correlated with the severity of NAFLD(r>0,P<0.05),while CTL/S was negatively correlated with the severity of NAFLD(r<0,P<0.05).Conclusions:The abdominal fat CT parameters as well as the serum SAA and GP73 levels are correlated with the severity of NAFLD.

Abdominal fat CTAmyloid proteinGolgi protein 73Non-alcoholic fatty liver diseaseCorrelation

赵金玲

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新蔡县人民医院放射科,河南 驻马店 463500

腹部脂肪CT 淀粉样蛋白 高尔基体蛋白73 非酒精性脂肪性肝病 相关性

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(18)