老年住院病人脂肪肝的流行病学特征及危险因素

发布时间：2018-03-11 00:23

本文选题：脂肪肝　切入点：性别　出处：《中国老年学杂志》2017年14期 　论文类型：期刊论文

【摘要】：目的调查老年住院患者脂肪肝的发病情况及相关危险因素。方法 819例≥60岁的老年住院患者均行腹部超声检查,个人资料包括年龄、性别、文化程度、家族病史、现病史(糖尿病、高血压、高脂血症、肥胖、冠心病等)、饮酒史和人体学指标包括身高、体重、腰围、血压、体重指数(BMI)及生活行为危险因素包括膳食结构、体力活动及锻炼情况、睡眠状况。腹部超声诊断为脂肪肝者纳入脂肪肝组,余纳入非脂肪肝组,对比分析两组的个人资料、人体学指标及生活行为危险因素等。结果检出脂肪肝351例,总检出率42.85%,其中男229例(65.24%),女122例(34.76%),60~69岁有209例(59.54%),70~79岁有119例(33.90%),≥80岁23例(6.56%)。脂肪肝与高血压、高脂血症、肥胖、冠心病、糖尿病存在相关性(P0.05),长期饮酒史比较两组有统计学差异(P0.05)。脂肪肝组中BMI超标占全部脂肪肝患者的48.08%;脂肪肝组腰臀比(WHR)超标有216例(61.54%)均高于非脂肪肝组(P0.05)。肉食为主和偶尔进食早餐或者不进食早餐在两组比较脂肪肝组明显高于非脂肪肝组(P0.05)。睡眠障碍在脂肪肝组睡眠差的患者明显多于非脂肪肝组(P0.05),非脂肪肝组的患者每周运动次数和运动时间均多于脂肪肝组(P0.05)。结论老年住院患者脂肪肝检出率为42.85%,男女比例为1.47∶1;60~70岁年龄段检出率最高。大多数脂肪肝患者分别或者同时罹患高血压、高脂血症、肥胖、冠心病、糖尿病。BMI和WHR均和脂肪肝发生相关,但WHR似乎更优于BMI。饮食结构肉食为主、偶尔吃(3 d/w)早餐、睡眠状况或睡眠障碍和运动少会促进脂肪肝的发生。
[Abstract]:Objective to investigate the incidence and risk factors of fatty liver in elderly inpatients. Methods 819 inpatients aged more than 60 years were examined by abdominal ultrasound, and their personal data included age, sex, education, family history. Current history (diabetes, hypertension, hyperlipidemia, obesity, coronary heart disease, etc.), alcohol consumption history and anthropometric indicators include height, weight, waist circumference, blood pressure, body mass index (BMI), and life behavior risk factors including dietary structure, Physical activity and exercise, sleep status, abdominal ultrasound diagnosis of fatty liver into the fatty liver group, the rest into the non-fatty liver group, comparative analysis of the two groups of personal data, Results 351 cases of fatty liver were detected, and the total detection rate was 42.85. Among them, 229 cases were male, 65.24m, and 122 cases were female, there were 209 cases of fatty liver and hypertension, obesity, coronary heart disease, coronary heart disease. There were 209 cases of fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, there were 119 cases of fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, 119 cases were over 80 years old, 23 cases were 6.56jian.Fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, coronary heart disease, fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease. There was a correlation between diabetes mellitus (P 0.05) and long-term drinking history (P 0.05). In fatty liver group, BMI exceeded the standard in 48.08% of all fatty liver patients, and the waist-hip ratio in fatty liver group was higher than that in non-fatty liver group in 216 cases (61.54%). Meat was predominant in fatty liver group. Compared with the occasional breakfast or non-eating breakfast group, fatty liver group was significantly higher than non-fatty liver group (P 0.05). The patients with sleep disorder in fatty liver group were significantly more than non-fatty liver group (P 0.05), and non-fatty liver group had weekly exercise. Conclusion the detection rate of fatty liver in elderly inpatients is 42.85, and the ratio of male to female is 1.47: 16070 years old. Most of the patients with fatty liver develop hypertension separately or at the same time. Hyperlipidemia, obesity, coronary heart disease, diabetes. BMI and WHR were all associated with fatty liver disease, but WHR seemed to be better than BMI.Diet structure meat was predominant, occasionally eating 3 d / w breakfast, sleep status or sleep disorder and less exercise could promote the occurrence of fatty liver.
【作者单位】：成都市慢性病医院五病区;成都市第六人民医院消化科;
【分类号】：R575.5

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