西北某油田职工脂肪肝检出情况及影响因素分析

An epidemiological survey of fatty liver in workers of an northwest oil field and analysis of its influencing factors

【目的】分析西北某油田职工脂肪肝现状及影响因素,为职工脂肪肝的防控提供依据。【方法】以2018年5月至2018年11月西北某油田公司下属二级生产单位组织的健康体检人群为研究对象,收集脂肪肝问卷调查资料、体检资料,统计分析油田职工脂肪肝的现状及影响因素。【结果】油田职工脂肪肝检出率为33.53%,工作在榆林地区、男性(OR=3.114,95%CI:2.552~3.798)、超重(OR=1.799,95%CI:1.515~2.137)、肥胖(OR=2.527,95%CI:2.000~3.193)、高ALT(OR=1.211,95%CI:1.011~1.450)、高TG(OR=1.214,95%CI:1.036~1.422)、FPG 6.1~7.0 mmol/L(OR=1.923,95%CI:1.305~2.834)、FPG≥7.0 mmol/L(OR=1.557,95%CI:1.098~2.208)、高脂饮食(OR=1.994,95%CI:1.578~2.520)、吸烟(OR=1.474,95%CI:1.123~1.935)、饮白酒(OR=2.120,95%CI:1.424~3.157)、啤酒加白酒(OR=2.237,95%CI:1.612~3.105)等因素为油田职工脂肪肝检出的独立危险因素。【结论】调查分析发现高脂饮食、胰岛素抵抗、高脂血症、饮酒、吸烟等为脂肪肝发生的危险因素,应该针对不同地区、不同人群、不同工种采取综合有效的干预措施,从而降低脂肪肝的检出率。

【Objective】To analyze the status quo and influencing factors of fatty liver in workers of an northwest oil field,and provide basis for prevention and control of fatty liver.【Methods】The health check-up population organized by the secondary production unit of a northwest oil field company from May 2018 to November 2018 were selected as the research objects.The questionnaire survey data and physical examination data about fatty liver were collected,and the present situation and influencing factors of fatty liver in oil field workers were analyzed statistically.【Results】The results showed that the detection rate of fatty liver in oil field workers was 33.53%.Working in Yulin area,male(OR=3.114,95%CI:2.552-3.798),overweight(OR=1.799,95%CI:1.515-2.137),obesity(OR=2.527,95%CI:2.000-3.193),high ALT(OR=1.211,95%CI:1.011-1.450),high TG(OR=1.214,95%CI:1.036-1.422),FPG 6.1-7.0 mmol/L(OR=1.923,95%CI 1.305-2.834),FPG 7.0 mmol/L(OR=1.557,95%CI:1.098-2.208),high fat diet(OR=1.994,95%CI:1.578-2.520),smoking(OR=1.474,95%CI:1.123-1.935),drinking white wine(OR=2.120,95%CI:1.424-3.157),drinking beer and white wine(OR=2.237,95%CI:1.612-3.105)were independent risk factors for fatty liver detection in oil field workers.【Conclusion】It is found in this investigation and analysis that high fat diet,insulin resistance,hyperlipidemia,alcohol consumption,smoking are the risk factors of fatty liver.Comprehensive and effective intervention measures should be taken in different regions,different populations and different types of work to reduce the detection rate of fatty liver.