CAJ | 학술논문

目的：探讨宝鸡地区健康体检人群血脂水平异常、体质量指数（BMI）与脂肪肝发病率的关系。方法对10476例体检者进行了身高、体质量测量并计算 BMI，进行了血清 TG、TC、LDL-C、HDL-C 水平检测，以及腹部 B 超检查，然后对检查结果进行了统计分析。结果10476例体检者脂肪肝检出率为16．29％，血脂水平异常的检出率为45．31％；TG、TC、LDL-C 及 HDL-C 水平异常的检出率分别为33．05％、17．23％、15．48％及10．00％；脂肪肝检出率随 BMI 的增加而增高（P ＜0．05）；男性 TG、LDL-C 水平异常增高，HDL-C 水平异常降低及脂肪肝的检出率均高于女性（P ＜0．05）；血脂异常及脂肪肝检出率在各年龄段不同（P ＜0．05），男性血脂异常及脂肪肝检出率最高的均为中年组，而女性则为老年组。结论 BMI、血脂水平及脂肪肝发病率在不同年龄、性别的人群间存在差异，BMI 与脂肪肝的发生存在某种程度的正相关关系。
목적：탐토보계지구건강체검인군혈지수평이상、체질량지수（BMI）여지방간발병솔적관계。방법대10476례체검자진행료신고、체질량측량병계산 BMI，진행료혈청 TG、TC、LDL-C、HDL-C 수평검측，이급복부 B 초검사，연후대검사결과진행료통계분석。결과10476례체검자지방간검출솔위16．29％，혈지수평이상적검출솔위45．31％；TG、TC、LDL-C 급 HDL-C 수평이상적검출솔분별위33．05％、17．23％、15．48％급10．00％；지방간검출솔수 BMI 적증가이증고（P ＜0．05）；남성 TG、LDL-C 수평이상증고，HDL-C 수평이상강저급지방간적검출솔균고우녀성（P ＜0．05）；혈지이상급지방간검출솔재각년령단불동（P ＜0．05），남성혈지이상급지방간검출솔최고적균위중년조，이녀성칙위노년조。결론 BMI、혈지수평급지방간발병솔재불동년령、성별적인군간존재차이，BMI 여지방간적발생존재모충정도적정상관관계。
Objective To investigate the relationship between fatty liver prevalence and body mass index(BMI),dyslipidemia in physical examination population in Baoji area.Methods The height and weight of 10 476 cases of physical examination population were measured and then BMI was calculated.Serum TG,TC,LDL-C and HDL-C concentrations were also determined.Type-B ul-trasonic was used to diagnose fatty liver.The test results were analyzed statistically.Results Fatty liver detection rate of 10 476 physical examination people was 16.29%,the detection rate of abnormal blood lipid concentration was 45.31%;the detection rate of abnormal TG,TC,LDL-C and HDL-C concentrations were 33.05%,17.23%,15.48% and 10%;the prevalence of fatty liver in-creased with BMI(P <0.05);In male population,the detection rate of TG,LDL-C concentrations′abnormal increase,HDL-C con-centrations′abnormal decrease,and fatty liver were higher than that in female population(P <0.05);the detection rate of blood lip-id′s abnormal concentrations and fatty liver were different in people of different age(P <0.05).In male population the group with the highest detection rate of dyslipidemia and fatty liver was the middle-aged group,while in women population was the elderly group.Conclusion There was a significant correlation among BMI,dyslipidemia and fatty liver prevalence,which were different in age and gender.