鹤壁市直机关和学校人群脂肪性肝病患病率及相关因素分析  

STUDY ON PREVALENCE OF FATTY LIVER DISEASE AND ITS RELATED FACTOR BY PHYSICAL EXAMINATION FOR PEOPLE IN PUBLIC SERVANT AND SCHOOL OF HEBI CITY

作　　者：王喜梅[1] 张新萍[1] 梁凤秋 赵利阳 

机构地区：[1]河南省鹤壁职业技术学院医学院临床教研室,鹤壁458030 [2]河南省鹤壁市京立医院体检中心

出　　处：《现代预防医学》2011年第1期4-5,10,共3页Modern Preventive Medicine

摘　　要：[目的]探讨鹤壁市直机关和学校人群脂肪性肝病的患病率,为早期干预及改善脂肪性肝病预后提供依据。[方法]对在鹤壁市京立医院体检中心健康体检的市直机关和学校人群进行调查,内容包括问诊、既往病史、体格检查、肝胆胰脾B超、血脂、血糖、血流变、肝功能、乙肝5项等检查。[结果]4363人完成调查,男性脂肪性肝病患病率35.74%,高于女性14.93%,性别间患病率差异有统计学意义(P﹤0.001)。总体脂肪性肝病患病率有随年龄增长而增加的趋势。男性在50～60岁年龄段患病率达峰值为40.11%,女性在60～70岁年龄段患病率达峰值为40.55%。脂肪性肝病组高血压、高脂血症、高血糖、高粘血症患病率为36.88%、51.04%、30.72%、58.56%,高于非脂肪性肝病组16.61%、14.55%、9.16%、28.27%,差异均有统计学意义(P﹤0.001)。市直机关脂肪性肝病患病率为31.32%,高于学校组23.19%,差异有统计学意义(P﹤0.001)。[结论]鹤壁市直机关和学校脂肪性肝病的患病率较高,且与性别、年龄、职业、高血压、高脂血症、高血糖、高粘血症密切相关。[Objective] To investigate the prevalence of fatty liver disease in the public servant and school of Hebi City, and to provide a basis for early intervention and improvement m prognosis of fatty liver disease. [ Methods] People who had medical check-up in Jingli Hospital of Hebi were invited to participate in the survey. Questionnaire, physical examination, serum hpid. serum glucose, hemorheology, hepatitis B virus serum markers, and ultrasound examination of liver were undertaken. [Results] A total of 4 363 persons took parl in the survey. Of them. the detective rate of fatty liver disease in the male was 35.74%, higher than 14.93% of women, P 〈 0.001. The overall prevalence rate of fatty liver disease increased with aging. The prevalence rate of tha male in 50-60 age group peaked at 40.11% and the female in 60-70 age group peaked at 40.55%. In the pepple of fatty liver disease, the prevalence rate of hypertension, liyperlipidemia, high blood glucose, hypervi^osity were 36.88%, 51.04%, 30.72%, 58.56% respectively, higher than 16.61%, 14.55%, 9.16%, 28.27% in no-fatty liver disease group, P 〈 0.001. The prevalence of the public servant＇s fatty liver disease was 31.32%, higher than that of teachers group 23.19%, P 〈 0.001. [Conclusiorl] The prevalence rate of fatty liver disease related to age, sex, profession, hypertensio, hyperlipidemia, high blood glucose, hyperviseosity is high in enterprises of Hebi City.

关 键 词：脂肪性肝病 患病率 

分 类 号：R575.5[医药卫生—消化系统]