A Cross Sectional Study of Lipid Profile In Ultrasonography-diagnosed Fatty Liver

Saroj Sharma, Subaj Bhattarai
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Abstract

ABSTRACT: Objective: The aim of this study is to conduct a descriptive cross sectional study to observe the relationship of lipid profile with fatty liver, as diagnosed by ultrasonography. Methodology: Study population consisted of 105 persons (50 females & 55 males) who were having non-alcoholic fatty liver disease, as diagnosed by ultrasonography. Serum lipid profile reports of the study population was tabulated and compared with grade I, II & III of ultrasonography-diagnosed fatty liver. Result: Grade I (mild) non-alcoholic fatty liver disease was seen in 84.7 %, grade II (moderate) in 13.3 % and grade III (severe) in 1.9% cases. Mean age of the study population was 48.3 years ranging from 25 years (minimum) to 79 years (maximum). Dyslipidemia was found in more than two thirds of our study population. Total cholesterol, triglyceride and low-density lipoprotein were increased in 67.6%, 65.7% and 67.6% respectively. High-density lipoprotein was decreased in 60.9% cases. Mean value of total cholesterol, triglyceride, low-density lipoprotein and high-density lipoprotein were 233.5 gm/dl, 215.5 gm/dl, 148.7 gm/dl and 32.5 gm/dl respectively. When lipid profiles were compared with fatty liver, significant positive correlation was seen between non-alcoholic fatty liver disease with increased serum cholesterol, increased triglyceride, increased low-density lipoprotein & decreased serum high-density lipoprotein. P value was <0.001 in all the cases. Different grades of non-alcoholic fatty liver disease and individual lipid components showed no significant correlation. Conclusion: This study showed more than two thirds of ultrasonography-diagnosed non-alcoholic fatty liver had abnormal lipid profile. So, safe and non-invasive ultrasonography is very useful for screening and early detection of dyslipidemia in patients.
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超声诊断脂肪肝中脂质剖面的横断面研究
摘要:目的:通过描述性横断面研究,观察超声诊断的脂肪肝与血脂的关系。方法:研究人群包括105人(50名女性和55名男性),他们患有超声诊断的非酒精性脂肪性肝病。将研究人群的血脂报告制成表格,并与超声诊断的ⅰ级、ⅱ级和ⅲ级脂肪肝进行比较。结果:84.7%为I级(轻度)非酒精性脂肪肝,13.3%为II级(中度),1.9%为III级(重度)。研究人群的平均年龄为48.3岁,年龄范围从25岁(最小)到79岁(最大)。在我们的研究人群中,超过三分之二的人发现了血脂异常。总胆固醇、甘油三酯和低密度脂蛋白分别升高67.6%、65.7%和67.6%。60.9%患者高密度脂蛋白降低。总胆固醇、甘油三酯、低密度脂蛋白和高密度脂蛋白平均值分别为233.5 gm/dl、215.5 gm/dl、148.7 gm/dl和32.5 gm/dl。当脂质谱与脂肪肝比较时,发现非酒精性脂肪肝与血清胆固醇升高、甘油三酯升高、低密度脂蛋白升高和血清高密度脂蛋白降低之间存在显著正相关。所有病例的P值均<0.001。不同程度的非酒精性脂肪肝与个体脂质成分无显著相关性。结论:本研究显示超过三分之二的超声诊断的非酒精性脂肪肝有异常的血脂。因此,安全、无创的超声检查对血脂异常患者的筛查和早期发现是非常有用的。
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