·糖尿病临床研究·

　　【摘要】 目的 分析糖尿病合并发病毒性肝炎(VH)的临床特点。 方法 回顾性分析278例糖尿病伴发VH的临床资料。 结果 (1)糖尿病合并病毒性肝炎(DM+VH)组平均年龄高于单纯病毒性肝炎(VH)组，但低于糖尿病(DM)组(53.30±12.05 vs 37.58±14.39 vs 61.18±14.16，P=0.000)。(2)DM+VH组临床类型以肝硬化为主(47.12%)，其次是慢性乙型肝炎(33.09%)。(3)糖尿病患者中以T2DM多见，其次是肝源性糖尿病(HGD)。 结论 糖尿病伴发病毒性肝炎以中年男性肝炎后肝硬化及慢性乙型肝炎患者常见。

　　【关键词】 糖尿病;病毒性肝炎;临床特征

Clinical analysis of diabetes mellitus patients with viral hepatitis Liu Da-feng,Ran Xing-wu,Wang Lin,et al.The Infectious Disease Hospital of Chengdu,Chengdu 610061,China

Corresponding author:RAN Xing-wu,E-mail:ranxingwu@yahoo.com.cn

　　【Abstract】 Objective To analyze clinical characteristics of diabetes mellitus patients with viral hepatitis(VH). Methods A retrospective analysis was carried out for a study on 278 DM cases with viral hepatitis during hospitalzation. Results (1)The average age in DM patients with viral hepatitis (DM+VH group) was higher than that in viral hepatitis without DM (VH group),but lower than that in DM without hepatitis (DM group) [(53.30±12.05) vs (37.58±14.39) vs (61.18±14.16)，P=0.000)]. (2)The major clinical type of the patients was cirrhosis(47.12%),followed by chronic viral B hepatitis(33.09%) in DM+VH group.(3)The main type in diabetic patients was T2DM,followed by hepatogenous diabetes (HGD).

　　Conclusions Diabetes mellitus patients with VH are common in the middle-age males with cirrhosis and chronic viral B hepatitis.

　　【Key words】 Viral hepatitis;Diabetes mellitus;Clinical characteristics