脂肪肝危险因素研究

The Risk Factors Related to Fatty Liver

目的探讨与脂肪肝相关的危险因素。方法武汉地区体检人员脂肪肝863人,同期非脂肪肝对照组865人,分别测定身高、体重,收缩压、舒张压,并做空腹血糖(FBS)、谷丙转氨酶(ALT)、胆固醇 (TC)、甘油三脂(TG)及心电图、B超检查。结果脂肪肝男性患者多;脂肪肝患者体重指数(BMI),收缩压、舒张压,FBS、GPT、TC、TG明显高于对照组;脂肪肝伴心电图有心肌缺血表现者亦高于对照组,但窦性心动过缓的发生率不高于对照组;左室高电压、胆及肝结石、肾结石、胆息肉的发生率与对照组相比无统计学差异。结论男性、高脂血症、肥胖、高血压、糖代谢紊乱等与脂肪肝密切相关。

Objective To study the risk factors related to fatty liver in order to better prevent fatty-liver. Methods To investigate 863 cases suffered from fatty livers and 865 healthy peoples, they have all accepted physical check-up and come from Wuhan staff. Their height, weight, blood pressure were checked, and blood suger, lipid profile, aspartate aminotransferse（ALT） were measured using commercially available enzymatic kits. Their electrocardiogram（ECG） were examined,meanwhile,their livers, kidneys and gallbladders with sonography. Results The incidence gets high in male, The body mass index（BMI）,systolic blood pressure（SBP）,diastolic blood pressure（DBP）,fasting blood suger（FBS）,ALT, total serum cholesterol（TC）,serum triglycerides （TG） in fatty livers is obviously higher than those of the contol group.The fatty liver group has also got more myocardial ischemia than that of control group. Conclusion Male,dyslipidemia,obesity, hypertension,dysglycemic are the risk factors of fatty liver, and fatty liver has got more chance of suffering from myocardial ischemia. Controlling-risk factors may prevent the occurrence of fatty liver.