摘要
目的了解青岛市在职职工脂肪肝患病状况,分析脂肪肝相关危险因素,探讨降低脂肪肝患病率的方法和预防措施。方法用分层抽样和简单随机抽样的方法,抽取2011年1月—2012年1月在青岛阜外医院进行健康查体的6 063名在职职工的健康档案,收集身高、体质量、血压、空腹血糖、血脂和B超检查结果进行统计分析。结果青岛市在职职工脂肪肝患病率为25.14%,男性和女性患病率分别为31.5%、13.0%,男性明显高于女性(χ2=248.515,P<0.01);55～年龄组患病率最高,65岁之前脂肪肝患病率随着年龄的升高而升高,65岁之后患病率有所下降(χ2=213.628,P<0.01)。体质量超标准(超标)、肥胖、血压异常、胆固醇异常、三酰甘油异常、血糖异常者分别为37.7%、17.2%、22.8%、19.7%、21.8%、12.5%,脂肪肝组上述指标异常均高于非脂肪肝组,差异均有显著意义(χ2=69.087～1 029.952,P<0.01)。结论青岛市在职职工脂肪肝患病率较高,男性高于女性。超标、肥胖、高血压、高胆固醇血症、高三酰甘油血症、高糖血症是其危险因素。提高全民健康意识,积极控制体质量,是预防脂肪肝的关键。
Objective To investigate the prevalence of fatty liver in on-the-job workers in Qingdao, analyze the correlated risk factors, and study the measures to reduce the incidence and prevention. Methods Health records of 6 063 on the-job workers who had physical examination in Qingdao Fuwai Hospital -from January 2011 to January 2012- were collected by stratified sampling and simple random sampling. The information of body height, body weight, blood pressure, fasting blood sugar, blood lipid and ultrasonography were analyzed statistically. Results The prevalence of fatty liver was 25.14% in the workers investigated, 31.5% in male and 13.0% in female, with a higher prevalence in male （Х^2 =248.515 ,P〈0.01）. The highest prevalence was recorded in 55-year-old group, the prevalence rate increased along with the increase of age before 65, and then with some degree of descent （Х^2=213.628 ,P〈0.01）. The abnormal rate of overweight, obesity, blood pressure, cholesterol, triglyeerides and blood glucose was 37.7%, 17.2%, 22.8%, 19.7%, 21.8% and 12.5%, respectively. Each index in fatty liver group was higher than that in the non fatty-liver group （Х^2=69.087- 1 029.952,P〈0.01）. Conclusion The prevalence of fatty liver in workers of Qingdao is relatively high, with more men than women. Overweight, obesity, high blood pressure, high cholesterol, high triglycerides and high blood glucose are the contributing factors. Raising health consciousness of entire people and controlling body weight is the key to prevent the disease.
出处
《齐鲁医学杂志》
2013年第4期339-341,共3页
Medical Journal of Qilu
关键词
脂肪肝
患病率
危险因素
青岛
数据收集
fatty liver
prevalence
risk factors
preventive measures
Qingdao
data collection
