某高校教职工脂肪肝患病情况及相关危险因素分析

发布时间：2018-02-23 17:35

本文关键词： 健康体检脂肪肝血脂体重指数　出处：《现代预防医学》2015年17期 　论文类型：期刊论文

【摘要】：目的了解高校教职工人群脂肪肝患病分布趋势,探讨其相关危险因素,为高校群体脂肪肝的防治工作提供一定依据。方法对2014年某高校健康体检的1 447名教职工进行身高、体重、血压、血脂、空腹血糖、转氨酶、肌酐、尿酸及腹部B超检查,并对体检结果进行分析。结果脂肪肝总检出率为25.7%,60岁之前检出率随年龄增大而增高(χ2=41.053,P0.001),50~60岁组达高峰为37.4%,随后下降;男性检出率(38.5%)明显高于女性检出率(16.0%)(χ2=93.428,P0.001);脂肪肝组超重肥胖、血脂紊乱、高血糖、高血压和肝功能异常检出率高于非脂肪肝组(P0.01);超重肥胖、血脂紊乱、高血糖、高血压的检出率与脂肪肝检出率性别和年龄趋势一致,男性高于女性,与年龄呈正相关;体重指数、空腹血糖和甘油三酯分层分析,脂肪肝检出率随体重指数和甘油三酯水平增高而升高,最高达85.5%和62.0%,趋势性卡方检验χ2值为364.493和208.155(P0.001),提示体重指数和甘油三酯与脂肪肝发生关系最为密切。结论高校教职工脂肪肝患病率高,肥胖、血脂紊乱与脂肪肝密切相关。
[Abstract]:Objective to understand the distribution trend of fatty liver disease among faculty members in colleges and universities, and to explore its related risk factors, and to provide some basis for prevention and treatment of fatty liver in college population. Methods the height of 1 447 faculty members who were examined by physical examination in a university in 2014 was studied. Body weight, blood pressure, blood lipid, fasting blood glucose, transaminase, creatinine, uric acid and abdominal B-ultrasound, Results the total detection rate of fatty liver before age increased with age (蠂 ~ 2 / 41.053 / P 0.001 / 50 = 37.4%, and then decreased) (蠂 ~ 2 / 41.053 / P ~ (0.001) P ~ (0.001) = 37.4%). The detection rate of fatty liver was significantly higher than that of female (蠂 ~ (2 93.428P) P 0.001) than that of female (蠂 ~ (2 93.428P) P 0.001) (蠂 ~ 293.428P 0.001), and was significantly higher than that of female (蠂 ~ (2 93.428N) P 0.001). The detection rate of dyslipidemia, hyperglycemia, hypertension and liver function abnormality was higher than that of non-fatty liver group (P 0.01), the detection rate of overweight and obesity, dyslipidemia, hyperglycemia and hypertension was consistent with the gender and age trend of fatty liver, and the detection rate of male was higher than that of female. Body mass index, fasting blood glucose and triglyceride stratified analysis showed that the detection rate of fatty liver increased with the increase of body mass index and triglyceride level. The highest values were 85.5% and 62.0, and the 蠂 ~ 2 values of trend Chi-square test were 364.493 and 208.155 (P 0.001), indicating that body mass index (BMI) and triglyceride were most closely related to fatty liver. Conclusion the prevalence of fatty liver is high, obesity and dyslipidemia are closely related to fatty liver.
【作者单位】：南京中医药大学保健门诊部;
【分类号】：R575.5

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