【摘要】 目的调查广西西部地区脂肪肝发生与血脂、血糖、肥胖、血压、饮酒等因素的相关性及该人群的脂肪肝发生状况。方法随机抽取百色市机关事业单位体检职员共3624名测定总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、体重指数(BMI)、血压、肝脏B超及饮酒状况。结果共检出脂肪肝512例,患病率为14.13%,其中男272例(13.20%)、女240例(15.34%)。脂肪肝患者中饮酒者404例(78.91%),肥胖者207例(40.42%),脂肪肝伴高血压病者173例(33.79%);空腹血糖≥15.6 mmol/L者70例(13.67%),高TG血症255例(49.80%)、高TG血症293例(57.22%)、高LDL-C血症369例(72.07%)、低HDL-C血症232例(45.31%)。结论脂肪肝的发生随着年龄的增长而增加,发病率无明显性别差异。饮酒是该人群发生脂肪肝的首要危险因素,其次的危险因素依次为肥伴、高血脂症、高血压、糖代谢紊乱等。更多还原

【Abstract】 Objective To investigate the relationship between the occurance of fatty liver and risk factors,such as blood lipid,blood glucose,obesity,blood pressure and drinking.Methods The levels of total cholesterol(TC),tri- glycerides(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),fast blood glucose(FBG),body mass index(BMI),blood pressure were measured and B-mode uhrasonography of liver was taken in 3 624 staffs of baise government office during health examination.Results 512 patients with fatty liver were found,the occuranee rate was 14.13%,male 272 cases(13.2%),female 240 cases(15.34%),404 cases of them were alcoholic(78.9%),207 cases with obesity(40.42%),173 cases with hypertension(33.79%),70 cases FBG were higher than 5.6 mol/L(13.67%),225 cases with high TG(49.8%),293 cases with high TC(57.2%),369 cases with high LDL-C(72.1%),232 cases with low HDL-C(45.31%).Conclusions The occurance of fatty liver increases as ageing.There is no significant difference between different sex.Alcoholism is the first risk of fatty liver in these groups;Obesity,high blood lipid,hypertension and disturbance of carbohydrate metabolism are the second risk factors.更多还原