糖尿病是患有MASH相关肝硬化患者的萨尔科佩尼亚风险因素
Shinya Sato1, Hiroaki Takaya1, Tadashi Namisaki1
1Department of Gastroenterology, Nara Medical University, Kashihara 634-8521, Japan.
Journal of clinical medicine
|December 30, 2025
概括
糖尿病恶化了代谢功能障碍相关的脂肪肝炎 (MASH) 肝硬化结果,增加了,减少了生存率. 这强调了糖尿病是高风险MASH患者的关键预后标志物.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 临床结果研究研究
背景情况:
- 代谢功能障碍相关的脂肪肝炎 (MASH) 是肝硬化的主要驱动因素.
- 糖尿病 (DM) 在MASH相关肝硬化中的预后意义需要进一步阐明.
研究的目的:
- 为了比较临床结果,包括死亡率,肝脏相关事件 (LREs) 和麻症,与DM和没有DM的肝硬化患者之间.
主要方法:
- 与MASH相关的肝硬化患者被分为DM (DM-MASH) 和非DM (非DM MASH) 组.
- 使用卡普兰-梅尔分析,日志等级测试和费舍尔精确测试分析了生存率,LREs和肉类的流行率.
- 后勤回归识别了萨科佩尼亚的风险因素.
主要成果:
- 在DM-MASH患者中,平均存活时间显著缩短 (1523天与2618天相比;p <0.05).
- 在DM-MASH组中,LREs的发生率更高.
- 在DM-MASH患者中,肉类的患病率显著增加 (36.1%与19.7%相比;p <0.05),DM是独立的预测因素.
结论:
- 糖尿病与MASH驱动的肝硬化病的较差结果有关.
- 糖尿病与缩症的增加和MASH肝硬化中生存率的降低有关.
- 糖尿病可能作为高风险MASH肝硬化患者的预后指标.
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