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不同病因慢性肝病合并2型糖尿病的流行病学特征OA

Epidemiological features of chronic liver disease with different etiologies comorbid with type 2 diabetes mellitus

中文摘要英文摘要

慢性肝病和2型糖尿病(T2DM)均为全球重大公共卫生问题.在不同病因慢性肝病患者中,T2DM的患病率存在差异.慢性丙型肝炎病毒感染、脂肪代谢功能障碍和酒精滥用在引起慢性肝病的同时也导致T2DM的患病率增加;慢性乙型肝炎病毒感染是否可引起T2DM风险增加尚不明确,而慢性乙型肝炎患者随着疾病进展,其T2DM患病率显著升高;自身免疫性肝病与T2DM的关系仍缺乏大样本证据.此外,T2DM会增加肝硬化和肝细胞癌等终末期肝病的发生风险.T2DM的早期诊断和个体化管理对改善慢性肝病患者的预后具有重要意义.

Both chronic liver disease(CLD)and type 2 diabetes mellitus(T2DM)are major public health issues worldwide,and there is a significant difference in the prevalence rate of T2DM across patients with CLD of different etiologies.Chronic hepatitis C virus infection,dysregulation of fat metabolism,and excessive drinking not only lead to CLD,but also increase the prevalence rate of T2DM.It remains unclear whether chronic hepatitis B virus infection can cause an increase in the risk of T2DM,although the prevalence rate of T2DM significantly increases with disease progression in patients with chronic hepatitis B,and there is still a lack of large-sample evidence for the association between autoimmune liver disease and T2DM.In addition,T2DM may increase the risk of end-stage liver diseases such as cirrhosis and hepatocellular carcinoma.Therefore,early diagnosis and individualized management of T2DM are of great importance for improving the prognosis of patients with CLD.

蔡明明;李强

山东大学附属公共卫生临床中心肝病诊疗中心,济南 250101山东大学附属公共卫生临床中心肝病诊疗中心,济南 250101

肝疾病糖尿病,2型患病率

Liver DiseasesDiabetes Mellitus,Type 2Prevalence

《临床肝胆病杂志》 2026 (5)

1217-1222,6

山东省重点研发计划(2021SFGC0504) Key R&D Plan of Shandong Province(2021SFGC0504)

10.12449/JCH260532

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