衡水市职工肝胆B超结果分析  

Analysis of Liver and Gallbladder B-Ultrasound of Workers in Hengshui

作　　者：韩轶超[1] 张旭刚[1] 彭晔[1] 杨秀芳[1] 谢娜[1] 郑文选[1] 

机构地区：[1]哈励逊国际和平医院,河北衡水053000

出　　处：《现代预防医学》2015年第18期3443-3445,3449,共4页Modern Preventive Medicine

摘　　要：目的 了解衡水市职工肝胆系统常见疾病的患病情况及其原因。方法 选择2013年在某医院体检科参加健康体检的衡水市职工24 579例,对其肝胆系统B超结果进行分析。结果 （1）衡水市职工肝胆系统常见疾病排在前5位的,从高到低依次为：脂肪肝32.67%、胆囊炎8.19%、肝囊肿6.35%、胆囊息肉3.29%、胆囊结石2.43%。（2）脂肪肝、胆囊炎、肝囊肿的男女检出率分别为41.24%、21.71%;9.34%、6.71%;6.95%、5.58%,男性均明显高于女性,差异有统计学意义（P〈0.05）;而胆囊息肉、胆囊结石男女检出率无统计学差异（P〉0.05）。（3）胆囊炎、肝囊肿、胆囊结石的检出率随年龄增长而增长（趋势χ2分别为97.896、497.040、210.748,P〈0.05）,脂肪肝、胆囊息肉呈现先增高后降低的趋势（趋势χ2分别为93.423、4.199,P〈0.05）。脂肪肝以51~60岁之间检出率最高,达39.24%,60岁以上检出率反而降低;胆囊息肉41~50岁检出率最高,为4.27%。（4）国家工作人员、专业技术人员、公司职员、工人4类职业人群肝胆疾病的检出率不同,差异有统计学意义（P〈0.05）。除肝囊肿外,国家工作人员在脂肪肝、胆囊炎、胆囊息肉、胆囊结石中的发病率较高（分别为：37.41%、10.05%、3.63%、2.26%）,工人的发病率最低（分别为：29.40%、6.96%、2.90%、1.77%）,差异有统计学意义（P〈0.05）。结论 衡水市职工肝胆系统常见的疾病存在明显的性别、年龄、职业分布特点,应重视肝胆超声检查,对发病率高的特定人群进行重点宣教,普及健康知识,预防或减少肝胆系统疾病发病率。Objective This work was to investigate the prevalence of liver and gallbladder disease in Hengshui city and the influencing factors. Methods A total of 24579 workers in Hengshui who underwent physical examinations in the Medical Examination Center of a hospital in 2013 were included as study objects. Analysis was conducted by their liver and gallbladder B-Ultrasound examination. Results （1） The top five liver and gallbladder diseases were ranked as follows： fatty liver （32.67%）, cholecystitis （8.19%）, liver cyst （6.35%）, gallbladder polyps （3.29%）, gallbladder stones （2.43%）. （2） The prevalence among males was higher than females in fatty liver （41.24% vs 21.71%）, cholecystitis （9.34% vs 6.71%） and liver cyst （6.95% vs 5.58%）. The difference was statistically significant （P〈0.05）. But there was no significant difference in the prevalence of gallbladder polyps and gallbladder stone （P〉0.05）. （3） With increasing age, the prevalence of cholecystitis, liver cyst, gallbladder stones gradually increased （trend x2 respectively： 97.896, 497.040, 210.748, P〈0.05）.The prevalence of fatty liver and gallbladder polyps was first increased and then decreased, withrespect x2 of trend of 93.423 and 4.199, P〈0.05）. For fatty liver, the prevalence was the highest of up to 39.24% in the age group of 51-60, and for gallbladder polyps the highest was 4.27% in the age group of 41-50 years old. （4） The prevalence was different among national authorities, professional and technical staff, staff, workers （P〈0.05）. Except for liver cyst, the prevalence of fatty liver, cholecystitis, gallbladder polyps and gallbladder stones among the national authorities were 37.41%, 10.05%, 3.63%, 2.26%, respectively, which was higher than in other groups. Their prevalence in workers were 29.40%, 6.96%, 2.90% and 1.77%, respectively, which were the lowest. The difference was statistically significant （P〈0.05）. Conclusion The prevalenceof liver and gallbladder diseases v

关 键 词：肝胆B超 常见疾病 衡水市职工 

分 类 号：R195.4[医药卫生—卫生统计学]