CAJ | 학술논문

目的：明确石家庄市医务人员脂肪肝（fatty liver，FL）患病趋势、相关危险因素及其与代谢综合征其他组分的关系。方法回顾性分析河北医科大学第三医院体检中心1428例石家庄市综合医院医务人员体检信息，根据性别、年龄、体质量指数（body mass index，BMI）、实验室检查及腹部超声检查结果分析 FL 患病情况及其与代谢综合征其他组分的关系。结果 FL 患病率于70岁前随年龄增长呈递增趋势；60岁前男性明显高于女性（χ2＝185．787，P ＜0．01）。Logistic 回归分析显示性别、年龄、BMI、收缩压、舒张压、空腹血糖、总胆固醇、三酰甘油是 FL的危险因素。结论石家庄市区综合医院医务人员 FL 患病率显著高于普通人群，其发病与 BMI、空腹血糖、三酰甘油水平相关，其中 BMI 为 FL 患病或康复的预测因素。
목적：명학석가장시의무인원지방간（fatty liver，FL）환병추세、상관위험인소급기여대사종합정기타조분적관계。방법회고성분석하북의과대학제삼의원체검중심1428례석가장시종합의원의무인원체검신식，근거성별、년령、체질량지수（body mass index，BMI）、실험실검사급복부초성검사결과분석 FL 환병정황급기여대사종합정기타조분적관계。결과 FL 환병솔우70세전수년령증장정체증추세；60세전남성명현고우녀성（χ2＝185．787，P ＜0．01）。Logistic 회귀분석현시성별、년령、BMI、수축압、서장압、공복혈당、총담고순、삼선감유시 FL적위험인소。결론석가장시구종합의원의무인원 FL 환병솔현저고우보통인군，기발병여 BMI、공복혈당、삼선감유수평상관，기중 BMI 위 FL 환병혹강복적예측인소。
Objective To investigate the prevalence and risk factors of fatty liver(FL),and clarify the relationship between FL and other components of metabolic syndrome among medical staffs in the general hospitals of Shijiazhuang.Methods A retrospective study was performed to analyze the prevalence and related risk factors of FL in 1 428 medical stuffs who continuously participated in health examination in the Third Hospital of Hebei Medical University.Background variables for the analysis included gender,age,body mass index (BMI),laboratory tests and abdominal ultrasound examination.Results The FL prevalence was increasing with age before 70 years old and higher in male than female among the participants younger than 60 years old(χ2=185.787,P <0.01).Logistic multivariant regression analysis indicated that the incidence of FL was correlated to gender,age,BMI,systolic pressure,diastolic blood pressure,fasting blood sugar, total cholesterol and triglycerides.Conclusion There is a high incidence of FL in the medical staffs of general hospitals of Shijiazhuang,and BMI,blood glucose and triglycerides correlated with FL prevalence.BMI is an independent predictor for morbidity and recovery of FL.