2006－2008年某医院职工非酒精性脂肪性肝病调查

A follow-up investigation on nonalcoholic fatty liver disease in medical staff at a hospital during 2006-2008

通过2006-2008年某医疗机构内部职工2次体检资料,调查非酒精性脂肪性肝病（NAFLD）发病情况及危险因素.2006年NAFLD的总检出率为13.9%（230/1655）,2008年为18.9%（344/1817）,差异有统计学意义（χ^2=15.549,P＜0.01）;2006年30岁～、40岁～、＞50岁的NAFLD检出率分别为9.4%、17.8%、21.7%,2008年为14.4%、28.2%、30.5%,均有增加,并呈现年轻化趋势;肥胖和超重的相对危险度最高为1.859.医务人员NAFLD患病率逐年增加,应重视NAFLD的行为干预,对潜在的危险因素加以预防.

A retrospective survey wag performed among medical staff in a hospital during 2006-2008 with physical examinations and reviews of medical records.Nonalcoholic fatty liver disease（NAFLD）related factors were compared and analyzed for them.Overall detection rate of NAFLD was 13.9%（230/1655）in 2006 and 18.9%（344/1817）in 2008,with statistically significant difference（χ^2=15.549,P〈0. 01 ）. Among people surveyed over 30 years old, detection rate of NAFLD was 9.4%, 17. 8% and 21.7% for those aged 30 -39, 40 -49 and 50 years and over, respectively in 2006, while 14. 4%, 28. 2% and 30. 5% , respectively in 2008. Detection rate presented a increasing trend in those of younger age. Relative risk for fatty liver was 1. 859 for those with obesity and overweight. Prevalence of NAFLD in medical staff increases year by year. Medical staff should attend for their own health and take measures to prevent them from its potential risk factors and pay more attention to behavioral intervention for NAFLD.