合肥某事业单位员工脂肪肝发病趋势及其相关因素探讨

Discussion on fatty liver morbidity and relevant factors of staffs in a public institution of Hefei

目的调查合肥某事业单位脂肪肝发病趋势及性别、年龄、血脂、血尿酸、血糖与脂肪肝发病的关系,为实施健康干预提供依据。方法对2009-2012年行健康体检的某事业单位员工根据年龄、性别分组调查脂肪肝的发病趋势,分析相关危险因素。结果 2009-2012年受检者脂肪肝发病率分别为23.83%、24.64%、25.94%、29.08%(χ2=10.441,P=0.015),发病率逐年升高,男性明显高于女性。在脂肪肝患者中,脂肪肝合并高血脂者为63.29%;合并高尿酸者占8.46%;合并高血糖者占4.15%;单纯脂肪肝者占24.12%。年度间相比,脂肪肝合并高血脂者差异无统计学意义(χ2=1.770,P=0.622);脂肪肝合并高尿酸者逐年增高差异无统计学意义(χ2=6.693,P=0.082),有上升趋势;脂肪肝合并高血糖差异无统计学意义(χ2=1.863,P=0.601);不伴有血生化指标改变的脂肪肝检出率(χ2=6.627,P=0.099),有下降趋势。结论脂肪肝发生率高,男性高于女性。高血脂、高尿酸血症、高血糖常与脂肪肝伴发。

Objective This paper is to investigate the fatty liver morbidity and its related factors of staffs in a public institution of Hefei,and provide a basis for implementing health intervention. Methods Diagnosis of fatty liver by color Doppler,for 2009- 2012 examination in our hospital unit employees according to different age,gender grouping survey subjects fatty liver disease trends,analysis of fatty liver disease related factors. Results 2009- 2012 incidence of fatty liver subjects were 23. 83%,24. 64%,25. 94%,29. 08%（ χ2= 10. 441,P = 0. 015）,the incidence increased year by year,the male than female. Levels of uric acid and blood sugar elevated and serum uric acid were obvious different between people with and without fatty liver（ χ2= 20. 974,P = 0. 001）. Conclusion The incidence of fatty liver is high. Hyperlipidemia,hyperuricemia and hyperglycemia are related with fatty liver.