研究：肥胖影响肝病控制
Research: obesity affects the control of liver diseases
（中央社记者龙瑞云台北5日电）高雄长庚医院今天发表肝炎与代谢症候群社区研究，C肝
患者的代谢症候群与肝纤维化程度高相关，若C肝患者肥胖则会影响治疗及预后。
(CNA reporter Long Rui-yun, Taipei, October 5) Kaohsiung Chang Gung Hospital
published a hepatitis and metabolic syndrome community research today, showing
that metabolic syndromes in patients with chronic hepatitis C are positively
correlated to the degree of liver fibrosis. Obesity of patitents with hepatitis
C would affect their treatments and prognosis.
台湾消化系医学会今天举办台湾消化周，台湾肝癌医学会秘书长陈冠仰表示，肝病三部曲
是肝炎、肝硬化及肝癌，而B型及C型肝炎带原者是肝癌的高危险群。
The Gastroenterological Society of Taiwan held the 2013 Taiwan Digestive
Disease Week today. The Secretary-General of Taiwan Liver Cancer Association
Chen Guan-Yang said that the trilogy of liver disease refers to chronic
hepatitis, cirrhosis, and liver cancer, and hepatitis B and C carriers are
high-risk groups for liver cancer.
高雄长庚医院胃肠肝胆科医师卢胜男带领医疗人员自2011年起在台南市玉井区执行肝炎门
诊及研究，每2周都会赴玉井提供门诊。医师郭垣宏代表报告“社区慢性病毒性肝炎病人
发生代谢症候群的相关因子”。
Kaohsiung Chang Gung Hospital gastroenterologist Lu Sheng-Nan took medical
staff to Yujing District in Tainan City to conduct outpatient clinics and
research on hepatitis, and they went to Yujing once every two weeks to
provide outpatient services. Physician Guo Yuan-Hung was delegated to report
"Associated Factors with Metabolic Syndrome in Chronic Viral Hepatitis
Patients in the Community."
郭垣宏说，将2003年到2013年台南肝炎筛检出B型及C型肝炎患者中，追踪住在玉井的45岁
以上肝炎居民，由于玉井位于山区，医疗资源缺乏，为了解民众筛检后，追踪治疗成效，
与玉井卫生所合作，开设肝炎门诊，提供可近性医疗服务。
Kuo Yuan-Hung said that they had kept track of Yujing residents over 45 years
old with hepatitis among patients screened with hepatitis B and C in Tainan
from 2003 to 2013. Because of location in a mountainous area, Yujing lacks
medical resources. In order to trace the effectiveness of treatments after
screening, they had collaborated with Yujing District Health Center, opened
hepatitis outpatient clinics, and provided accessible medical services.
郭垣宏说明，门诊追踪451位居民，其中198男性、253女性，从社区研究发现女性、B肝病
毒量验不到、年纪大、肝纤维化程度高及身体质量指数与B肝患者的代谢症候群有关。对
于C肝患者的代谢症候群则与肝纤维化程度高有关。
Kuo Yuan-Hung explained their tracking of 451 residents comprising 198 males
and 253 are females. From the community research, they found no correlation
for females and the amount of hepatitis B virus, and found that old age, high
degree of fiber fibrosis, and body mass index are positively correlated to
metabolic syndromes of hepatitis B patients. For hepatitis C patients, their
metabolic syndromes are positively correlated to the degree of liber fibrosis.
研究中肥胖是指男性腰围超过90公分、女性超过80公分，他说，对于肝病与肥胖仍有许多
讨论，不过，比较确定的是，若C肝患者肥胖则会影响治疗及预后。
In the research, obesity refers to waist circumference of males over ninety
centimeters and females over eighty centimeters. He said that there are still
many debates on liber diseases and obesity, but it is a more recognized fact
that obesity of patients with hepatitis C would affect their treatments and
prognosis.
陈冠仰说，肝病是台湾的国病，每年新诊断肝癌患者是1万1000名，以成年男性居多，据
卫生福利部统计资料，肝癌死亡率及人数是癌症第2位，不过初发现肝癌时，约3成是早期
、4成是晚期。
Chen Guan-Yang said that liver disease is Taiwan's national disease. Around
eleven thousand people are diagnosed with liver cancer annually, and the
majority of them are adult males. According to statistics of Health Promotion
Administration, the mortality and mortality rate of liver cancer ranks second,
but for patients initially diagnosed with liver cancer, about 30% are in the
earliest stage and 40% are in the latest stage.
台湾消化系医学会提醒民众配合肝炎筛检，若发现是带原更要积极治疗、定期回诊，并养
成良好生活习惯，不抽菸、少喝酒、饮食要少盐、少油，注重均衡饮食及规律运动，并依
医师指示治疗。
The Gastroenterological Society of Taiwan reminds people to take screening
tests for liver cancer. For those screened as carriers, they should receive
more active treatments, attend clinics regularly, form good living habits
such as no smoking, less drinking, eating less salt and fat, having balanced
diets, and taking regular exercise, and take treatments according to their
doctors' instructions.
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