{"id":86669,"date":"2018-03-10T00:11:20","date_gmt":"2018-03-10T00:11:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/asociacion-de-diabetes-mellitus-y-cirrosis-hepatica-por-virus-c\/"},"modified":"2018-03-10T00:11:20","modified_gmt":"2018-03-10T00:11:20","slug":"asociacion-de-diabetes-mellitus-y-cirrosis-hepatica-por-virus-c","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/asociacion-de-diabetes-mellitus-y-cirrosis-hepatica-por-virus-c\/","title":{"rendered":"Asociacion de diabetes mellitus y cirrosis hepatica por virus c."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Garrido Serrano <\/strong><\/h2>\n<p>Objetivos:1- estudiar la frecuencia de diabetes mellitus en pacientes cirr\u00f3ticos por virus c(vhc), compar\u00e1ndola con la de cirr\u00f3ticos no virus c.2-investigar los valores de insulinemia basal en ambos grupos y excluyendo tambi\u00e9n a los pacientes diab\u00e9ticos, as\u00ed como los posibles factores responsables de la misma.  material y metodos: se realiz\u00f3 un estudio prospectivo que incluy\u00f3 a 50 cirr\u00f3ticos por vhc(grupo i) y 50 cirr\u00f3ticos de otras etiolog\u00edas(grupo ii). en ambos grupos se compararon los porcentajes de diab\u00e9ticos y los niveles de insulinemia basal, as\u00ed como los factores asociados a resistencia insul\u00ednica:edad,indices antropom\u00e9tricos, estadio de la cirrosis seg\u00fan grado de child-pugh, ferritina plasm\u00e1tica y tratamiento con f\u00e1rmacos inductores de resistencia insul\u00ednica. se realizo tambi\u00e9n identico estudio excluyendo los pacientes diab\u00e9ticos de ambos grupos.  resultados:el porcentaje de diabeticos en el grupo i fue del 36%, frente al 18% en el grupo ii, p&lt;0,05,y los valores de insulinemia basal 23.5+-9.7 uu\/ml frente a 15.7+9.9 uu\/ml respectivamente, p&lt;0,05. No se encontraron diferencias entre ambos grupos con respecto a las siguientes variables:edad, peso, talla, indice de masa corporal ni estadio de child-pugh. En cambio los valores de ferritina s\u00e9rica fueron m\u00e1s elevados en el grupo i 137.7(12.4-410.2), que en el grupo ii 87.6(2.4-420) ng\/ml, p&lt;0,05. Similares resultados se obtuvieron excluyendo a los pacientes diab\u00e9ticos de ambos grupos, es decir, unos niveles de insulinemia basal y ferritina s\u00e9rica m\u00e1s elevados en el grupo de cirr\u00f3ticos por virus c.  conclusiones: los pacientes cirr\u00f3ticos debido al vhc tienen una mayor preValencia de diabetes mellitus que los cirr\u00f3ticos por otras etiolog\u00edas. Ademas presentan niveles m\u00e1s elevados de insulinemia basal, que se explicar\u00eda por un aumento de resistencia a la insulina mediado por el incremento de los dep\u00f3sitos de hierro s\u00e9rico que igualmente presenta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Asociacion de diabetes mellitus y cirrosis hepatica por virus c.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Asociacion de diabetes mellitus y cirrosis hepatica por virus c. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Garrido Serrano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/09\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Antonio Grilo Reina<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Santiago Dur\u00e1n Garc\u00eda <\/li>\n<li>Manuel De la mata garcia (vocal)<\/li>\n<li>blas Gil extremera (vocal)<\/li>\n<li>Manuel Castro fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Garrido Serrano Objetivos:1- estudiar la frecuencia de diabetes mellitus en pacientes cirr\u00f3ticos por virus c(vhc), compar\u00e1ndola [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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