铁路企业职工脂肪肝流行病学调查  

Investigation on the Epidemic of Fatty Liver among Employees of Railway Enterprise

作　　者：夏培君[1] 岳园[1] 赵振涛[1] 杨永红[1] 郭玉婷[1] 王健[1] 

机构地区：[1]山东中医药大学第二附属医院消化内科,山东济南250001

出　　处：《预防医学论坛》2008年第12期1179-1181,共3页Preventive Medicine Tribune

摘　　要：[目的]探讨铁路企业职工脂肪肝流行病学情况,为其防治提供依据。[方法]采用整群、抽样的方法对济南铁路地区健康体检的8个部门13017名职工进行了脂肪肝的流行病学调查。[结果]2002～2004年共调查铁路职工10764人,检出脂肪肝1122例,总患病率为8.62%,男女患病率分别为9.63%、3.77%,差异有统计学意义（P〈0.01）;在职职工组男性患病率高于女性,差异有统计学意义（P〈0.01）;离退休组结果相反,差异有统计学意义（P〈0.01）;机车乘务员患病率为20.02%,明显高于非机车乘务员;以上各项及不同年龄与工种间患病率的差异均有统计学意义（P〈0.01）。[结论]体力劳动强度小、工作环境噪音大及精力高度集中、压力大、生活条件好的机务、车务和机关人员患病率高,机车乘务员患病率位居首位,应引起重视并加强对可控危险因素干预。[Objective]To explore the prevalence of fatty liver among employees of railway enterprise, provide scientific basis for prevention and treatment of fatty liver. [Methods]Epidemiological investigation was conducted among 13 017 employees,having physical examination from 8 departments with cluster sampling method. [Results]Of the 10 764 employees investigated from 2002 to 2004,1 037 cases with fatty liver were confirmed,the total prevalence rate was 8.62% and the prevalence rate in male and female was 9.63% and 3.77% respectively. There was a difference（ P d0.01）. The prevalence rate among male in service was significantly higher than that of female in service. There was a difference （ P 〈 0. 0 1 ）. But the prevalence rate in retired female was significantly higher than that of retired male. There was a difference （ P 〈0.01）. The prevalence rate among train steward was 20. 02% ,which was much higher than that of those among nontrain steward. There was a difference of the prevalence in different aged group and different working condition（ P 〈0.01）. [Conclusion]The prevalence was higher among maintenance employees, train steward and officers with light intensity of work,strong noise environment in work place, high concentration of the energy, high pressure and better living condition. The prevalence was the highest among train steward. Great attention must be paid. Intervention on the risk controllable factors must be strengthened.

关 键 词：脂肪肝 危险因素 流行病学 

分 类 号：R575.5[医药卫生—消化系统]