芜湖市社区居民脂肪肝患病现状及影响因素分析

发布时间：2018-07-16 22:58

【摘要】：目的通过了解芜湖市城市社区居民的脂肪肝的患病情况以及相关影响因素,为早期合理的预防控制提供理论依据。方法整群抽取芜湖市某个社区的18岁以上常住居民作为研究对象,开展健康体检和流行病学调查。结果共901例研究对象参与调查,脂肪肝检出率为18.31%,其中男性检出率(29.0%)高于女性(5.6%),差异具有统计学意义(x~2=82.24,P0.001);脂肪肝检出率有随年龄增高而增高的趋势(x~2趋势=24.44,P0.001),以50~岁年龄组检出率最高(31.0%)。脂肪肝组血脂异常率(57.3%)高于非脂肪肝组(11.8%),差异具有统计学意义(x~2=163.46,P0.001)。Logistic回归结果显示:性别(OR=2.475,95%CI:1.344~4.545)、年龄(OR=1.030,95%CI:1.008~1.053)、体质指数(OR=1.584,95%CI:1.434~1.750)、总胆固醇水平(OR=2.134,95%CI:1.340~3.398)、高密度脂蛋白胆固醇水平(OR=0.064,95%CI:0.020~0.199)是脂肪肝发生的影响因素。结论芜湖市社区居民脂肪肝患病情况不容乐观,应予以重视并针对其危险因素开展健康教育和重点防控。
[Abstract]:Objective to investigate the prevalence of fatty liver in urban community residents of Wuhu city and its related influencing factors so as to provide theoretical basis for early and reasonable prevention and control. Methods the residents over 18 years old in a community in Wuhu city were selected by cluster sampling to carry out health examination and epidemiological investigation. Results 901 subjects participated in the investigation. The detection rate of fatty liver was 18.31, in which the detection rate of male (29.0%) was higher than that of female (5.6%), the difference was statistically significant (xA22 / 82.24 / P0.001), and the detection rate of fatty liver was increasing with the increase of age (x2 trend: 24.44 / P0.001), the highest rate was in the age group of 50 ~ (th) years (31.0%). 鑴傝偑鑲濈粍琛，

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