基层军官脂肪肝与体重指数及高脂血症关系研究

Relationship between fatty liver and body mass index and hyperlipemia in the basic unit military officer

目的研究基层军官脂肪肝与体重指数及高脂血症的关系,以便提出有针对性的防治措施。方法2004年5月～2007年10月来我院疗养的基层军官479例,进行身高、体重测量,计算体重指数(BMI);并对肝脏进行B超检查及血脂检查。结果B超诊断脂肪肝66例(13.78%),随年龄的增长发病率升高。随BMI的增加,脂肪肝检出率有明显增高趋势,其中肥胖组脂肪肝检出率明显高于非肥胖组(P<0.001);脂肪肝组的高脂血症的检出率明显高于非脂肪肝组(P<0.001)。结论肥胖和高脂血症(特别是以高三酰甘油为主的高脂血症)与脂肪肝的发生呈正相关。

Objective To investigate relationship between fatty liver and body mass index （BMI） and hyperlipemia in the basic unit military officer in order to propose the effective prevention and control measure. Methods 479 basic unit military officers recuperating in our sanitarium from May 2004 to October 2007 underwent the examination of the height, the body weight and BMI. The liver B scan and the blood fats were also performed. Results B scan diagnosed the fatty liver in 66 officers （13.78%）, and the occurrence rate increased with age. Along with the BMI increase, the fatty liver detection rate had the obvious tendency of increase and the fatty liver detection rate in the obese group was significantly higher than the non-obese group （P〈0.001）. The hyperlipemia rate in the fatty liver group was significantly higher than the non-fatty liver group （P〈0.001）.Conclusion The obesity and the hyperlipemia（especially high triglyceride hyperlipemia）are positively related with the occurrence of the fatty liver. The control of the body weight and decrease of the blood fats level can prevent and control the fatty liver with the clinical significance.