检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
13期
1756-1757,1760
,共3页
脂肪肝%健康体检%危险因素
脂肪肝%健康體檢%危險因素
지방간%건강체검%위험인소
fatty liver%physical examination%risk factors
了解重庆市某区中小学教师脂肪肝的患病率，分析其影响因素。方法分析2013年在重庆医科大学附属第二医院健康体检的某区3247例中小学教师中脂肪肝患者的血压、血脂、血糖、肝功能、尿酸等检测结果，并与其中非脂肪肝人员进行对比分析。结果脂肪肝检出率为10．2％，男性明显高于女性，随着年龄的增长，脂肪肝患病率增加。脂肪肝组的血压、血脂、血糖、丙氨酸氨基转移酶水平及尿酸与非脂肪肝组比较差异有统计学意义（P＜0．05）。脂肪肝组中并发肥胖、血脂异常、高血压、糖尿病的患病率显著高于非脂肪肝组。结论糖尿病、血脂异常、高血压、高尿酸血症是脂肪肝发病的危险因素，脂肪肝可表现为肝功能轻、中度异常。减轻体质量，控制高血脂、高尿酸和维持正常的血糖及血压水平是防治脂肪肝的重要措施。
瞭解重慶市某區中小學教師脂肪肝的患病率，分析其影響因素。方法分析2013年在重慶醫科大學附屬第二醫院健康體檢的某區3247例中小學教師中脂肪肝患者的血壓、血脂、血糖、肝功能、尿痠等檢測結果，併與其中非脂肪肝人員進行對比分析。結果脂肪肝檢齣率為10．2％，男性明顯高于女性，隨著年齡的增長，脂肪肝患病率增加。脂肪肝組的血壓、血脂、血糖、丙氨痠氨基轉移酶水平及尿痠與非脂肪肝組比較差異有統計學意義（P＜0．05）。脂肪肝組中併髮肥胖、血脂異常、高血壓、糖尿病的患病率顯著高于非脂肪肝組。結論糖尿病、血脂異常、高血壓、高尿痠血癥是脂肪肝髮病的危險因素，脂肪肝可錶現為肝功能輕、中度異常。減輕體質量，控製高血脂、高尿痠和維持正常的血糖及血壓水平是防治脂肪肝的重要措施。
료해중경시모구중소학교사지방간적환병솔，분석기영향인소。방법분석2013년재중경의과대학부속제이의원건강체검적모구3247례중소학교사중지방간환자적혈압、혈지、혈당、간공능、뇨산등검측결과，병여기중비지방간인원진행대비분석。결과지방간검출솔위10．2％，남성명현고우녀성，수착년령적증장，지방간환병솔증가。지방간조적혈압、혈지、혈당、병안산안기전이매수평급뇨산여비지방간조비교차이유통계학의의（P＜0．05）。지방간조중병발비반、혈지이상、고혈압、당뇨병적환병솔현저고우비지방간조。결론당뇨병、혈지이상、고혈압、고뇨산혈증시지방간발병적위험인소，지방간가표현위간공능경、중도이상。감경체질량，공제고혈지、고뇨산화유지정상적혈당급혈압수평시방치지방간적중요조시。
Objective To investigate the prevalence and influencing factors of fatty liver in teachers of primary and middle schools in a district of Chongqing .Methods The data of physical examination of 3 247 teachers ,receiving physical examination in this hospital in 2013 ,were retrospectively analyzed .And levels of blood pressure ,blood glu‐cose ,blood lipid ,aminotransferase and uric acid were compared between cases with or without fatty liver .Results A‐mong all subjects ,the detection rate of fatty liver was 10 .2% .The detection rate of fatty liver in males was higher than female .In incidence rate of fatty liver increased with the increasing of age .Levels of blood pressure ,blood glu‐cose ,blood lipid ,aminotransferase and uric acid in subjects with fatty liver were significantly different from subjects without fatty liver (P< 0 .05) .The prevalence rates of obesity ,dyslipidemia ,hypertension and diabetes in subjects with fatty liver were significantly higher than subjects without fatty liver .Conclusion Obesity ,diabetes ,dyslipi‐demia ,hypertension and hyperuricemia could be risk factors of fatty liver ,which might be manifested as mild to mod‐erate abnormal liver function .Reducing body weight ,controlling levels of blood cholesterol and uric acid ,and maintai‐ning the normal levels of blood glucose and blood pressure might be important measures to prevent fatty liver .
