Characteristics of Non-Alcoholic Fatty Liver Disease Patients at Dr. M. Djamil General Hospital Padang

Husna Yetti, Nada Utami Prahastiwi, R. Susanti, E. Decroli, Saptino Miro
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Abstract

Background: Non-Alcoholic Fatty Liver Disease (NAFLD) is emerging as chronic liver disease, both in developed and developing countries. NAFLD affects up to 25% population worldwide. The incidence of NAFLD associated with various risk factors supporting the development of the fatty liver. This study aim is to know the characteristics of NAFLD patients. Method: Retrospective study was conducted from medical records to find the characteristics of patients diagnosed with NAFLD  at Dr. M. Djamil General Hospital from January 2016 – December 2018. Results: Seventy-seven patients were diagnosed with NAFLD. The majority of  NAFLD patients were male and female at 36-45 years old and female at > 65 years old. Unemployed females were more prevalent compared to males. Dyslipidemia was the most component of a metabolic syndrome found in NAFLD patients. From laboratory findings, 55.56% of patients have increased aspartate aminotransferase (AST) levels, while 52.78%  have increased alanine aminotransferase (ALT) levels. Ultrasonography used widely as a diagnostic device to detect NAFLD. Pharmacological therapy based on American Asociation for the Study of Liver Disease (AASLD) recommendation that used widely to treat patients with NAFLD was statin. Conclusion: The incidence of NAFLD was found to vary in different age ranges and sexes. Dyslipidemia occurred in most of NAFLD patients. AST and ALT levels increased in about half of the patients. Abdomen ultrasound as a diagnostic modality that was widely used.
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巴东Djamil总医院非酒精性脂肪肝患者的特点
背景:在发达国家和发展中国家,非酒精性脂肪性肝病(NAFLD)正在成为一种慢性肝病。NAFLD影响全球高达25%的人口。NAFLD的发病率与支持脂肪肝发展的各种危险因素相关。本研究旨在了解NAFLD患者的特点。方法:回顾性研究2016年1月至2018年12月Dr. M. Djamil总医院诊断为NAFLD患者的病历特征。结果:77例患者确诊为NAFLD。NAFLD患者以36-45岁的男性和女性居多,年龄在55 - 65岁的女性居多。与男性相比,女性失业更为普遍。血脂异常是NAFLD患者代谢综合征的最主要组成部分。实验室结果显示,55.56%的患者有天冬氨酸转氨酶(AST)升高,52.78%的患者有丙氨酸转氨酶(ALT)升高。超声检查被广泛用于NAFLD的诊断。根据美国肝病研究协会(AASLD)的推荐,他汀类药物被广泛用于治疗NAFLD患者。结论:NAFLD的发病率在不同年龄段和性别之间存在差异。大多数NAFLD患者出现血脂异常。大约一半的患者AST和ALT水平升高。腹部超声作为一种诊断方式被广泛应用。
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