Study on the relevance between diabetes and chronic hepatitis B with chronic cholecystitis
Abstract：Objective To study the relevance between diabetes and chronic hepatitis B with chronic chole -cystitis and provide reference for the treatment of chronic hepatitis B with chronic cholecystitis .Methods Three hun-dred and ninety-six patients with mild or moderate chronic hepatitis B were studied .The fasting blood glucose ,2 h post-prandial blood glucose ,sugar tolerance in these patients were detected to screen out patients with diabetes ;type-B ultra-sonic examination and CT examination were performed to screen out patients with chronic cholecystitis ,and the inci-dence of chronic cholecystitis between patients with and without diabetes were compared .Seventy-two chronic hepatitis B patients with chronic cholecystitis and diabetes were set as groupⅠfor treatments,and 119 chronic hepatitis B patients with chronic cholecystitis without diabetes were set as group Ⅱfor treatments.The treatments for both groups were the same,and the results of the treatments were analyzed and recorded .For patients in the groupⅠ,who did not respond to the treatments,additional insulin treatment was given ,and the results of the treatments were analyzed and compared .Re-sults The incidences of cholecystitis in patients with or without diabetes were 100.0%(72/72) and 36.7%(119/324) respectively and the difference was significant ( P<0.01 ) .The recovery rate and the total effective rate of liver function in groupⅠwere lower than those in groupⅡafter the treatments ( P<0.01);the total effective rate of improve-ment of sonographic characteristics of biliary tract in groupⅠwas lower than that in groupⅡafter the treatments ( P<0.01) .The total effective rate of insulin treatment in recovering liver function after failure of treatments in group Ⅰwas 68.3%.Conclusion Chronic hepatitis B with chronic cholecystitis is strongly relevant with diabetes and the existence of diabetes directly affects the treatments for liver function and biliary tract ,but insulin treatment can lead to good prog-nosis.For chronic hepatitis B patients with chronic cholecystitis ,the screening of diabetes is extremely important .
Keywords：Chronic hepatitis BChronic cholecystitisDiabetesRelevance
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 136-138 )