非酒精性脂肪性肝病中医证型与血清生化指标的相关性研究_硕士学位论文1.doc

PAGE 广 西 中 医 学 院 硕 士 学 位 论 文 非酒精性脂肪性肝病中医证型与血清生化指标的相关性研究 研 究 生： 导 师： 院系（部所）： 瑞康临床医学院 专 业： 中医内科学 研究方向： 肝脏疾病的中西医结合防治 完成日期： 目 录 中文摘要················································1 英文摘要················································3 引 言·················································6 正 文·················································7 1 文献研究················································7 2 临床研究···············································17 2.1临床资料·············································17 2.2研究方法·············································21 3结果···················································23 4讨论···················································27 5存在的问题和展望·······································31 结 论················································33 参考文献···············································34 附 录················································37 综 述················································39 致 谢················································48 攻读学位期间发表的学术论文目录···························48 作者声明···············································50 个人简历···············································51 主要缩略词 英文缩写 英文全称 中文名称 NAFLD nonalcoholic fatty liver disease 非酒精性脂肪性肝病 NAFL nonalcoholic simple fatty liver 非酒精性脂肪肝 NASH nonalcoholic steatohepatitis 非酒精性脂肪性肝炎 IR insulin resistance 胰岛素抵抗 ALT alanine aminotransferase 丙氨酸氨基转移酶 AST aspartate aminotransferase 天冬氨酸氨基转移酶 GGT gamma-glutamyl transpeptidase 谷氨酰转移酶 ALP alkaline phosphatase 碱性磷酸酶 TG triglyceride 甘油三酯 TC total cholesterol 总胆固醇 HDL high-density lipoprptein cholesterol 高密度脂蛋白 LDL low-density lipoprptein cholesterol 低密度脂蛋白 FPG fasting plasma glucose 空腹血糖 中 文 摘 要 目 的：研究非酒精性脂肪性肝病（NAFLD）患者中医证型与实验室常用血清生化指标之间的关系，为中医辨证分型提供客观依据，为中西医结合防治NAFLD提供理论依据。 方 法：采用横断面研究方法，对自2010年10月至2011年3月广西中医学院附属瑞康医院体检中心体检者中及肝胆内科就诊者中，符合入组条件的150例NAFLD患者进行中医辨证分型，并记录其实验室常用血清生化指标，应用统计学分析方法处理所获得的信息与资料。 结 果：(1)150例患者平均年龄44.46岁，中