韩晖, 高艳. 上海邮电职工脂肪肝流行病学及危险因素调查[J]. 蚌埠医学院学报, 2013, 37(3): 317-320,323.
    引用本文: 韩晖, 高艳. 上海邮电职工脂肪肝流行病学及危险因素调查[J]. 蚌埠医学院学报, 2013, 37(3): 317-320,323.
    HAN Hui, GAO Yan. Epidemiological survey of fatty liver prevalence and its major risk factors in the workers of Shanghai postal and telecommunication company[J]. Journal of Bengbu Medical College, 2013, 37(3): 317-320,323.
    Citation: HAN Hui, GAO Yan. Epidemiological survey of fatty liver prevalence and its major risk factors in the workers of Shanghai postal and telecommunication company[J]. Journal of Bengbu Medical College, 2013, 37(3): 317-320,323.

    上海邮电职工脂肪肝流行病学及危险因素调查

    Epidemiological survey of fatty liver prevalence and its major risk factors in the workers of Shanghai postal and telecommunication company

    • 摘要: 目的:明确上海邮电职工体检人群中脂肪肝的患病率,并探讨其的主要危险因素。方法:从2011年参加上海邮电医院健康体检的邮电职工中,抽取接受全套检查者,包括进行体格检查及肝肾功能、空腹血糖、血脂全套、尿酸以及腹部B超等检查。结果:经腹部B超共检出脂肪肝6 347例(33.58%),男性5 114例,检出率45.15%,女性1 233例,检出率16.28%,男性脂肪肝检出率显著高于女性,无论是男性还是女性,脂肪肝检出率均随年龄增长而增加。脂肪肝组在低密度脂蛋白胆固醇、体质量指数、三酰甘油、年龄、空腹血糖、丙氨酸氨基转移酶、尿酸、舒张压水平均显著高于非脂肪肝组(P0.01),而高密度脂蛋白胆固醇水平显著低于非脂肪肝组(P0.01)。结论:上海邮电职工体检人群中脂肪肝检出率高,男性检出率显著高于女性,肥胖、糖尿病、血脂异常、年龄、高血压、高尿酸血症均是非酒精性脂肪性肝病的主要危险因素。

       

      Abstract: Objective:To investigate the prevalence and major risk factors of fatty liver in the workers of Shanghai postal and telecommunication company.Methods:A cross-sectional survey was performed in the workers who worked in Shanghai postal and telecommunication company from January to December 2011,all kinds of examinations were done in these workers,including physical examination,liver and renal function,serum fasting blood glucose level,lipid level,uric acid level and abdominal ultrasonographic examination.Results:Fatty liver was detected with abdominal ultrasonographic examination in 6 347 workers(33.58%),including 5 114 males(45.15%) and 1 233 females(16.28%).The prevalence of fatty liver in males was significantly higher than in females(P0.01).The prevalence of fatty liver was increased with aging both in males and females.Serum low-density lipoprotein cholesterol level,body mass index,triglyceride level,mean age,serum fasting glucose level,ALT level,serum uric acid and diastolic blood pressure in fatty liver group were significantly higher than those in the group without fatty liver(P0.01),but high-density lipoprotein cholesterol level in fatty liver group was significantly lower than in the group without fatty liver(P0.01).Conclusions:There is a high prevalence of fatty liver in the workers of Shanghai postal and telecommunication company.The prevalence of fatty liver in males is significantly higher than that in females.Obesity,diabetes,dyslipidemia,ages,hypertension and hyperuricemia are the major risk factors in nonalcoholic fatty liver.

       

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