陆军航空兵飞行员脂肪肝患病情况及影响因素分析
륙군항공병비행원지방간환병정황급영향인소분석
Analysis of prevalence and risk factors of fatty liver in army aviators
  • 万方数据
    中华航空航天医学杂志 중화항공항천의학잡지
    CHINESE JOURNAL OF AEROSPACE MEDICINE
    2007年 4期 260-265 ,共6页

    肖丹%闫永平%李海涛%王波%张磊%张景霞%张延亮%肇刚%潘建%周长明%于晓春%孟晨曦%朱长远%谢玮华%孟勇%门可

    초단%염영평%리해도%왕파%장뢰%장경하%장연량%조강%반건%주장명%우효춘%맹신희%주장원%사위화%맹용%문가

    脂肪肝%患病率%危险因素%人体质量指数%饮酒 脂肪肝%患病率%危險因素%人體質量指數%飲酒
    지방간%환병솔%위험인소%인체질량지수%음주
    Fatty liver%Prevalence%Risk factors%Body mass index%Alcohol drinking
    目的 研究陆航飞行员脂肪肝患病情况,为航卫保障提供依据.方法随机抽取2006年参加大体检的陆航飞行员443名,由体检资料获取身高、体重及所患疾病信息;发放调查表了解其一般情况和日常饮食生活习惯.计算脂肪肝患病率,采用多元Logistic回归、t检验、x2检验、Fisher确切概率检验和Cochran-armitage趋势检验分析危险因素.结果①陆航飞行员脂肪肝患病率是10.61%.陆航飞行员脂肪肝患病率高于民航飞行员,与我军各机种飞行员、海军飞行员脂肪肝患病率没有显著差异.②按照危险因素对脂肪肝患病率影响强度从大到小是:体质指数、年龄、日均饮酒量、飞行时间及地区.③患病组年龄、体质指数、日均饮酒量和飞行时间均显著高于非患病组;不同年龄组、体质指数组、日均饮酒量及飞行时间组患病率分别有显著差异,随年龄增长、体质指数增加、日均饮酒量增大及飞行时间增长,脂肪肝患病率逐渐升高;地区间患病率差异显著,患病率从高到低分别是中原地区、西南地区、华东地区和华北地区.结论 ①陆航飞行员脂肪肝患病率较高.②年轻陆航飞行员脂肪肝患病率较低,但患病率随年龄、飞行时间增加增长过快.③超重、饮酒是陆航飞行员脂肪肝的重要危险因素.④地理、气候、饮食等因素与陆航飞行员脂肪肝有关.
    목적 연구륙항비행원지방간환병정황,위항위보장제공의거.방법수궤추취2006년삼가대체검적륙항비행원443명,유체검자료획취신고、체중급소환질병신식;발방조사표료해기일반정황화일상음식생활습관.계산지방간환병솔,채용다원Logistic회귀、t검험、x2검험、Fisher학절개솔검험화Cochran-armitage추세검험분석위험인소.결과①륙항비행원지방간환병솔시10.61%.륙항비행원지방간환병솔고우민항비행원,여아군각궤충비행원、해군비행원지방간환병솔몰유현저차이.②안조위험인소대지방간환병솔영향강도종대도소시:체질지수、년령、일균음주량、비행시간급지구.③환병조년령、체질지수、일균음주량화비행시간균현저고우비환병조;불동년령조、체질지수조、일균음주량급비행시간조환병솔분별유현저차이,수년령증장、체질지수증가、일균음주량증대급비행시간증장,지방간환병솔축점승고;지구간환병솔차이현저,환병솔종고도저분별시중원지구、서남지구、화동지구화화북지구.결론 ①륙항비행원지방간환병솔교고.②년경륙항비행원지방간환병솔교저,단환병솔수년령、비행시간증가증장과쾌.③초중、음주시륙항비행원지방간적중요위험인소.④지리、기후、음식등인소여륙항비행원지방간유관.
    Objective To investigate the prevalence and risk factors of fatty liver in army aviators and provide evidence for aeromedical service. Methods The height，weight，diagnosis of 443 army aviators were got from their case history by random sampling.The related factors were investigated through questionnaire.The prevalence and risk factors of fatty liver were determined by multivariate Logistic regression，t test，chi-square test，Fisher exact probabilities test，and Cochran armitage trend test. Results①The fatty liver prevalence of army aviators was 10.61％.The fatty liver prevalence of army aviators was higher than civil aviators and had no difference with army pilots.②The risk factors of fatty Iiver were enumerated in order of corrected coefficient of regression as follows：body mass index(BMI)，age，daily alcohol drinking，flight time and area.③The mean age，BMI，daily alcohol drinking and flight time of fatty liver group were significantly higher than those without fatty liver.The prevalence of fatty liver increased with age，BMI，daily alcohol drinking and flight time,and was different in each area.The fatty liver prevalence in each area was enumerated as follows：central plains，southwest，eastern China and northern China.Conclusion ①There was a higher prevalence of fatty liver among army aviators.②There was a lower prevalence of fatty liver among young army aviators.But it increased quickly with aging and flight time.③Overweight,and flight were the important risk factors of fatty liver in army aviators.④Geography，environment and eating habit were related with fatty liver in army aviators.
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