研究：肥胖影響肝病控制
Research: obesity affects the control of liver diseases
（中央社記者龍瑞雲台北5日電）高雄長庚醫院今天發表肝炎與代謝症候群社區研究，C肝
患者的代謝症候群與肝纖維化程度高相關，若C肝患者肥胖則會影響治療及預後。
(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.
台灣消化系醫學會今天舉辦台灣消化週，台灣肝癌醫學會秘書長陳冠仰表示，肝病三部曲
是肝炎、肝硬化及肝癌，而B型及C型肝炎帶原者是肝癌的高危險群。
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.
高雄長庚醫院胃腸肝膽科醫師盧勝男帶領醫療人員自2011年起在台南市玉井區執行肝炎門
診及研究，每2週都會赴玉井提供門診。醫師郭垣宏代表報告「社區慢性病毒性肝炎病人
發生代謝症候群的相關因子」。
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."
郭垣宏說，將2003年到2013年台南肝炎篩檢出B型及C型肝炎患者中，追蹤住在玉井的45歲
以上肝炎居民，由於玉井位於山區，醫療資源缺乏，為了解民眾篩檢後，追蹤治療成效，
與玉井衛生所合作，開設肝炎門診，提供可近性醫療服務。
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.
郭垣宏說明，門診追蹤451位居民，其中198男性、253女性，從社區研究發現女性、B肝病
毒量驗不到、年紀大、肝纖維化程度高及身體質量指數與B肝患者的代謝症候群有關。對
於C肝患者的代謝症候群則與肝纖維化程度高有關。
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圍超過90公分、女性超過80公分，他說，對於肝病與肥胖仍有許多
討論，不過，比較確定的是，若C肝患者肥胖則會影響治療及預後。
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.
陳冠仰說，肝病是台灣的國病，每年新診斷肝癌患者是1萬1000名，以成年男性居多，據
衛生福利部統計資料，肝癌死亡率及人數是癌症第2位，不過初發現肝癌時，約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.
台灣消化系醫學會提醒民眾配合肝炎篩檢，若發現是帶原更要積極治療、定期回診，並養
成良好生活習慣，不抽菸、少喝酒、飲食要少鹽、少油，注重均衡飲食及規律運動，並依
醫師指示治療。
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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