实用肝脏病杂志 ›› 2014, Vol. 17 ›› Issue (5): 475-479.doi: 10.3969/j.issn.1672-5069.2014.05.008

• 脂肪性肝病 • 上一篇    下一篇

近10年4种常见的非感染性肝病患者临床特征及变化趋势分析*

邹正升, 李保森, 黄昂, 滕光菊, 孙颖, 王晓霞, 常彬霞, 李进   

  1. 100039 北京市 解放军第302医院非感染性肝病诊疗中心(邹正升,李保森,黄昂,滕光菊,孙颖,常彬霞); 医务部(王晓霞,李进)
  • 收稿日期:2014-03-07 出版日期:2014-10-31 发布日期:2016-04-11
  • 通讯作者: 李进,E-mail:lijin302@hotmail.com
  • 作者简介:邹正升,男,48岁,主任医师,教授,博士研究生导师。主要从事非感染性肝病的临床和基础研究。E-mail: zszou302@163.com 共同李保森,男,50岁,主任医师。主要从事非感染性肝病的临床研究。E-mail: libaosen16@sina.com
  • 基金资助:
    国家自然科学基金资助项目(No; 81370530)

Clinical features and changing trend in spectrum of patients with non-infectious liver diseases over the past decade in China

Zou Zhengsheng, Li Baosen, Huang Ang   

  1. Center for Non-infectious Liver Diseases, 302nd Hospital of PLA,Beijing 100039,China
  • Received:2014-03-07 Online:2014-10-31 Published:2016-04-11

摘要: 目的对比分析住院的4种常见非感染性肝病患者的临床特征及近10年来的变化趋势。方法采用SPSS18.0软件对近10年收治的12508例各种非感染性肝病患者的临床特征及变化趋势进行对比分析。结果酒精性肝病和自身免疫性肝病患者较多,分别占非感染性肝病患者的35.1%和32.1%;住院的酒精性肝病、药物性肝损伤和自身免疫性肝病患者占总的住院肝病患者的比例逐年上升,10年间分别上升了2.4倍、2.3倍和2.1倍;酒精性肝病和非酒精性脂肪性肝病患者男性占绝大多数,分别为97.7%和77.7%,而自身免疫性肝病和药物性肝损伤患者女性占绝大多数,分别为84.3%和57.9%(P<0.01);自身免疫性肝病患者平均年龄为(47.6±10.6岁),非酒精性脂肪性肝病患者平均年龄为[(35.9±14.1)岁,P<0.01],酒精性肝病和药物性肝损害患者年龄分布集中在40~49岁,分别占37.1%和25.0%,而自身免疫性肝病和非酒精性脂肪性肝病患者年龄分别集中在50~59岁和30~39岁,分别占33.7%和25.3% (P<0.01)。结论住院的非感染性肝病患者占住院肝病患者的比例在不断上升,须重视该类疾病的诊治,加强早期干预。

关键词: 非感染性肝病, 临床特点, 变化趋势, 对比分析

Abstract: Objective To analyze the clinical features of inpatients with top four kinds of non-infectious liver diseases(NILD) and changing trend of the disease spectrums over the past decade. Methods The clinical data of 12508 of inpatients with NILD in our hospital in the past decade were collected and analyzed with SPSS18.0. The clinical features and changing trend in disease spectrum were explored. Results Patients with alcoholic liver diseases and autoimmune liver diseases accounted for 35.0% and 32.1%,respectively;the ratio of inpatients with alcoholic liver diseases,drug-induced liver injury and autoimmune liver diseases to total inpatients with liver diseases increased 2.4,2.3 and 2.1-fold,respectively over the past decade;the percentage of male patients with alcoholic liver diseases and non-alcoholic fatty liver diseases accounted for 97.7% and 77.7%, respectively,while the percentage of female patients accounted for 84.3% and 57.9%,respectively(P<0.01)in patients with autoimmune liver diseases and drug-induced liver injury;the average age of patients with autoimmune liver diseases was(47.6±10.6) years, while it was [(35.9±14.1) years,P<0.01) in patients with non-alcoholic fatty liver diseases;the patients in the age range of 40 to 49 years accounted for 37.1% and 25.0%,respectively,in patients with alcoholic liver diseases and drug-induced liver disease,while the patients in the age range of 50 to 59 years and 30 to 39 years accounted for 33.7% and 25.3%,respectively(P<0.01)in patients with autoimmune liver diseases and non-alcoholic fatty liver diseases. Conclusions The ratio of patients with NILD to total patients with liver diseases is increasing gradually over the past decade and more attention should be paid for the management of those patients.

Key words: Non-infectious liver disease, Clinical features, Changing trend, Comparative analysis