某石化企业职工脂肪肝危险因素研究

STUDY ON RISK FACTORS OF FATTY LIVER AMONG EMPLOYEES IN FER TILIZER PLANT OF A PE TROCHEMICAL CORPORATION.

目的 :探讨某石化企业职工脂肪肝危险因素。方法 :采用整群抽样的方法 ,对某石化总厂所属化肥厂 90 4人进行了 B超等项目检查 ,并用自行拟订的流行病学调查表进行调查。结果 :B超共检出脂肪肝病例 182人 ,现患率为 2 0 .1% ;男性患病率为 2 3 .0 % ,女性为 12 .9% ,男性约为女性的 2倍 ;脂肪肝患者最小年龄 2 0岁 ,最大年龄 5 5岁 ,脂肪肝的检出率随年龄的增加而增加 ,5 0岁年龄组达到最高 ;体重指数超过 2 5、甘油三酯高、血糖高、血压高、饮酒和喜荤食组脂肪肝患者中检出比例高 ,而经常吃水果、喝茶、运动在脂肪肝患者中检出比例低于正常人群。结论 :化肥厂职工脂肪肝的现患率较高 。

Objective:To explore risk factors of fatty liv er (FL) among staff in fertilizer plant of a petrochemical corporation Methods:Cluster sampli ng was taken and 904 people were examined by Ultrasonography and laboratory test s of fasting blood glucose,blood lipid,and hepatitis B virus from Oct to Dec ,1999 Results:182 cases of fatty l iver (including mild 125,moderate 53 and severe 4) were diagnosed by Ultrasonography The overall pre valence was 20 1% (mild 68 7%,medium 29 1%,severe 2 2%) The incidence of fa tty liver was 23 0% in males and 12 9% in females,the ratio of males vs femal e s was about 2∶1 On the age distribution,the smallest age of patient with Hepat i c steatosis was 20,the oldest 55 There was a trend towards increased p revalence with increasing age and the highest prevalence was found at 50～ age g roup When compared with persons without liver fatty change,those with Hepatic steatosis had significantly higher body mass index(BMI)?triglycerides(TG)?fast i ng glucose (GLU)and blood pressure(BP) The prevalence was significantly highe r in the groups abusing alcohol,taking more meat,having history of high bloo d pressure and hyperlipipidemia,gallstone disease,and significantly lower in t he groups who would like more fruit and vegetable, more physical activity Conc lusion:The prevalence of fatty liver is higher among employees in the c hemical f ertilizer plant of petrochemical corporation,which probably is a disease associ ated with multi-factors