건강검진 수진자에서 비알코올성 지방간의 위험인자

다국어 초록 (Multilingual Abstract)

Purpose: Non-alcoholic fatty liver has almost recovered to health state, but at present, it suggested that acvanced to fibrosis and liver cirrhosis. therefore non-alcoholic hepatitis is blighted. Thus, in healthy medical check up, We are interesting to what they as non-alcoholics diagnosed as fatty liver by abdominal ultrasonography has risk factor.
Methods: we selected 2374 persons, exclude 160 persons that have HBsAg, or Anti-HCV, IN 2534 persons examined by abdominal ultrasonography, healthy medical check up in from August 2002 to December 2003 in dongguk University Gyeongju. 226 persons were selected that have not abuse alcoholics, in 611 persons confirmed as fatty liver by ultrasonography, and healthy control group of 1421 has not abnormal findings by ultrasonography. History taking was by research pancel, and body mass index, body fat ratio, blood pressure, liver function test, lipid profile, and blood sugar test were done. Fatty liver was divided by 3 grade, based that result of abdominal ultrasonography.
Results: The mean age of non alcoholic fatty liver was 47.03±10.18 years it is higher than healthy control group 42.24±10.17 yeares, and most common age has been 40 decade(92 people(40%)), men were 107 persons(47%), and women were 119 persons(53) body mass index (BMI=25.10±2.56 ㎏/㎡), body fat ratio (24.55±7.53), total cholesterol (204.98±38.37 ㎎/㎗), triglyceride (144.26±75.61 ㎎/㎗), fasting blood sugar (204.98±38.37 ㎎/㎗), triglyceride (144.26±75.61 ㎎/㎗), fasting blood sugar (94.38±30.66), systolic blood pressure (135.16±67.78 ㎜Hg), AST (25.94±12.00 IU/L), ALT (32.14±22.68 IU/L) are higher than healthy control group significantly. AST/ALT ratio of non alcoholic fatty livers is 0.95±0.34, it's below 1, health contrast peoples are 1.28±0.44, it's above 1. High ensity lipoprotein(43.77±8.24) was kiwer than health control group significantly. Non alcoholic fayyt livers were accompanied obesity(25%), high cholesteloremia(50%), high triglycemia(30%), hypertension(53%), DM(8%), it is higher than healthy control group significantly. The risk factors of non alcoholic fatty liver were increasing ALT, Low density lipoprotein, triglyceride, total cholesterol, body fat ratio in a multiple regression analysis.
Conclusions: The most common age of the non alcoholic fatty livers were 40 decade, and risk factors were increasing ALT, Low density lipoprotein, triglyceride total cholesterol, body fat ratio in the comprehensive medical testing persons.

목차 (Table of Contents)

• 목차 = 0
• I. 서론 = 1
• II. 연구 대상 및 방법 = 2
• 1. 대상 = 2
• 2. 방법 = 2
• 3. 통계적 방법 = 3
• III. 결과 = 4
• 1. 대상 환자의 특성 = 4
• 2. 비알코올성 지방간 환자군에서 체질량지수, 체지방률, 혈압, 혈당, 혈중지질농도 및 AST, ALT치 = 4
• 3. 비알코올성 지방간 환자군에 있어서 AST/ALT 비 = 5
• 4. 비알코올성 지방간에서 비만, 당뇨, 고혈압, 이상지혈증의 발생빈도 = 5
• 5. 초음파에 의한 지방간 등급에 띠른 각각 수치의 비교 = 5
• 6. 비알코올성 지방간의 위험인자 = 5
• IV. 고찰 = 6
• V. 결론 = 11
• 참고문헌 = 12
• =Abstract= = 24