老年人脂肪肝及相关危险因素分析  

Analysis of fatty liver and related risk factors in the elderly

作　　者：刘瑛[1] 许淼[1] 朱世明[2] 

机构地区：[1]山东省济南医院内科,山东济南250013 [2]山东大学附属济南市中心医院内科,山东济南250013

出　　处：《中国现代医生》2016年第32期30-32,共3页China Modern Doctor

摘　　要：目的研究老年人脂肪肝的发病率及相关因素。方法分析60岁及以上1002例脂肪肝患者发病与年龄、体重指数(BMI)、平均血压、丙氨酸氨基转移酶、总胆固醇、甘油三酯、空腹血糖和饮酒的关系。结果 (1)脂肪肝患病率37.9%。(2)脂肪肝组在年龄、BMI、尿酸、血糖、总胆固醇、甘油三酯、丙氨酸氨基转移酶(GPT)、谷氨酰转移酶、收缩压方面与非脂肪肝组比较,差异均有高度统计学意义(P<0.01)。(3)非代谢综合征组与代谢综合征组脂肪肝的患病率(分别为31.8%和62.3%)比较,差异有高度统计学意义(P<0.01)。结论高血压病、糖尿病、代谢综合征、高尿酸血症是增加老年人脂肪肝发病率的危险因素。Objective To investigate the incidence and related risk factors of fatty liver in aged people. Methods The relationships among age, body mass index（BMI）, mean blood pressure, alanine aminotransferase, total cholesterol,total cholesterol, triglyceride, fasting glucose and drinking in 1002 patients with fatty liver over 60 years old were analyzed. Results（1）The prevalence rate of fatty liver was 37.9%.（2）There were significant differences between fatty liver group and non-fatty liver group in age,BMI,uric acid, blood glucose, total cholesterol,triacylglyceride,alanine aminotransferase（GPT）, glutamyl transferase, and systolic blood pressure（P〈0.01）.（3）Compared with non metabolic syndrome group（31.8%）,the prevalence of fatty liver in the metabolic syndrome group（62.3%） was significantly different（P〈0.01）. Conclusion Hypertension, diabetes, metabolic syndrome, hyperuricemia are risk factors leading to the increase of fatty liver in the elderly.

关 键 词：脂肪肝 高脂血症 高血压 糖尿病 高尿酸血症 代谢综合征 危险因素 

分 类 号：R575[医药卫生—消化系统]