血清胆固醇与慢性丙型肝炎。

G Maggi, R Bottelli, D Gola, G Perricone, M Posca, C Zavaglia, G Ideo
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摘要

研究了100例组织学诊断为慢性乙型肝炎和100例慢性丙型肝炎患者的血清总胆固醇水平,所有患者均无肝硬化,以及两个年龄和性别匹配的对照组(B组和C组)。还比较了各组的平均血清胆固醇水平与性别、肝功能、疾病持续时间、酒精摄入量、质量指数、肝酶、肝脂肪变性的存在和肝脏疾病的严重程度基于组织学活性指数。同时计算血清胆固醇水平< 150mg /dl和> 240mg /dl患者的百分比。丙型肝炎患者的平均血清胆固醇水平显著降低:176毫克/分升,而乙型肝炎患者为194毫克/分升(p = 0.004),对照组C为198毫克/分升(p = 0.000)。28例丙型肝炎患者血清胆固醇< 150 mg/dl, 10例乙型肝炎患者血清胆固醇< 150 mg/dl (p = 0.001)。在多变量回归分析中,只有病毒感染类型与血清胆固醇水平独立相关(p = 0.0063)。
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Serum cholesterol and chronic hepatitis C.

Total serum cholesterol levels have been studied in 100 patients with histological diagnoses of chronic hepatitis B and 100 wit chronic Hepatitis C, all without cirrhosis, and two age- and sex-matched control groups (B and C). Mean serum cholesterol levels of the groups were compared also in relation to sex, liver function, duration of the disease, alcohol intake, mass index, liver enzymes, presence of liver steatosis and severity of the liver disease on the basis of the histological activity index. The percentages of patients with serum cholesterol level < 150 mg/dl and > 240 mg/dl were also calculated. The mean serum cholesterol level was significantly lower in hepatitis C: 176 md/dl vs 194 mg/dl of hepatitis B (p = 0.004) and 198 of control C (p = 0.000). Twenty eight hepatitis C patients had serum cholesterol < 150 mg/dl vs 10 with hepatitis B (p = 0.001). In multivariate regression analysis, only the type of virus infection was independent related to serum cholesterol level (p = 0.0063).

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