社区居民脂肪肝患病情况及相关因素的研究

Research on the Prevalence and Related Factors of Fatty Liver in Community Residents

目的：调查社区居民脂肪肝患病情况及其相关因素,探究脂肪肝发病的危险因素,为预治提供帮助。方法：采用随机整群抽样方法,收集社区健康体检的居民2696名,采集病史,包括性别、年龄、饮食行为习惯、身高、体重、血压和肝功、血糖、血脂情况,B超检查诊断脂肪肝情况。结果：调查对象中,脂肪肝患病率为20.81%,男性高于女性;男性脂肪肝患病率整体高于女性（P〈0.05）,35~45岁、45~55岁男性脂肪肝患病率显著高于女性（P〈0.05）,45~55岁组男性患病率相对较高。脂肪肝组各因素与非脂肪肝组比较,差异均有统计学意义（P〈0.05）。脂肪肝患病率与性别、年龄、体重指数、糖尿病、高脂血症、高血压、饮酒、运动等因素密切相关。结论：社区居民脂肪肝患病率较高,应注意针对危险因素,明确高危人群,制定科学合理的预防干预措施,以防病于未然。

Objective： To investigate the prevalence and related factors of fatty liver in community residents, to explore the risk factors and to provide help for treatment.Method： Using random cluster sampling method to collect physical examination in community residents of 2696 cases collected medical history, including gender, age, dietary habits and height, weight, blood pressure and liver function, blood glucose, blood lipid, B ultrasound examination to diagnosis fatty liver.Result： The prevalence of fatty liver was 20.81%, and the incidence among different age groups was statistically significant（P〈0.05）, 45-55 years old male prevalence was relatively highest, there were significant differences in the various factors of the fatty liver group（P〈0.05）.The prevalence was closely related to sex, age, body mass index, diabetes, hyperlipidemia, hypertension, alcohol consumption, exercise and others.Conclusion： The fatty liver prevalence rate is higher in community residents, we should pay attention to these risk factors, aimed at high risk population, formulate scientific and reasonable prevention and intervention measures to prevent the disease in the bud.