常德市老年脂肪肝的分布及危险因素的分析  

Analysis of Distribution and Risk Factors of Old People's Fatty Liver in Changde City

作　　者：庄景凡[1] 周伯钦[1] 何俊杰 胡德娥 

机构地区：[1]常德职业技术学院基础医学系,湖南常德415000 [2]常德第一人民医院体检中心

出　　处：《实用预防医学》2006年第4期900-902,共3页Practical Preventive Medicine

摘　　要：目的了解常德市老年脂肪肝的分布情况及其主要危险因素。方法对60岁以上离退休干部的体检结果进行分析。结果936名老干部,其中女性166名,男性770名。B超检出脂肪肝227例占24.3%。脂肪肝组空腹血糖(FBG)、甘油三脂(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、极低密度脂蛋白(VLDL)、收缩压和舒张压均值高于对照组,高密度脂蛋白胆固醇(HDL-C)均值低于对照组。提示上述指标与脂肪肝密切相关。OR分析显示,TG(OR=4.82)、LDL-C(OR=4.05)、TC(OR=3.19)与脂肪肝呈强相关。不同年龄段脂肪肝患者的TC均值有统计学差异(P<0.01),且随年龄增大而增高,其他指标均无统计学意义。结论常德市离退休干部脂肪肝患病率较高,高脂血症、高胆固醇、高LDL-C是脂肪肝的主要危险因素。Objective To understand the distribution and main risk factors of fatty liver among old people in Changde City. Method The medical health check data of retired cadres ≥60 years old were analyzed. Results Among the 936 cases, 166 females and 770 males were examined by B ultrasonography and 227 suffered from fatty liver, which accounted for 24.3 %. The average levels of FBG, TG, TC, LDL C, VLDL, systolic and diastolic pressure were all higher than the contrasting fatty liver negative group, but the average level of HDL - C was lower. The indexes mentioned above had close relationship with fatty liver. OR analysis showed that TG （OR - 4.82）, LDL- （3 （OR= 4.05）, TC （OR ： 3.19） had strong correlation with fatty liver. The TC levels showed significant statistics difference （P〈 0.01 ） as the age increased. Conclusions There exists a high proportion of fatty liver in old population in Changde city. Hyperlipidemia and high LDL - C are the major risk factors contributing to fatty liver.

关 键 词：老年脂肪肝 患病率 危险因素 

分 类 号：R575.5[医药卫生—消化系统]