济南市体检人群脂肪肝检出率及危险因素

山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (6): 119-121.

济南市体检人群脂肪肝检出率及危险因素

高西美1，王静2，杨晓云1，高立菊3，王凯4

山东大学齐鲁医院 1.健康体检中心； 2.重症医学科; 3.骨外科； 4.肝病科，济南 250012

收稿日期:2012-03-12 出版日期:2012-06-10 发布日期:2012-06-10
通讯作者: 王凯(1958- )，男，博士，主任医师，教授，主要从事肝病诊治及发病机制的研究。 E-mail：wangdoc876@126.com
作者简介:高西美(1965- )，女，副主任护师，副教授，主要从事健康管理研究。
基金资助:
山东省科技厅软科学项目(2010RKGA2027)；山东省科学技术发展计划项目(软科学部分，B200330)。

Detectable rate and risk factors of fatty liver in the Jinan
physical examination population

GAO Xi-mei1， WANG Jing2， YANG Xiao-yun1， GAO Li-ju3， WANG Kai4

1. Health Examination Center； 2. Intensive Care Unit； 3. Department of Bone Surgery; 4. Department of Hepatology，
Qilu Hospital of Shandong University， Jinan 250012， China

Received:2012-03-12 Online:2012-06-10 Published:2012-06-10

摘要/Abstract

摘要：

目的了解济南市体检人群脂肪肝患病情况，探讨其主要危险因素，为脂肪肝一级预防提供依据。方法 2011年3月对济南市2 162名18岁以上体检人员进行调查，分析其年龄、身高、体质量、行为习惯及肝功、血脂、空腹血糖等血清学指标，同时行肝脏超声检查。结果济南市体检人员脂肪肝检出率为20.3%，男性检出率高于女性(P< 0.05)，男性40～岁组检出率最高，女性50～岁组检出率最高。Logistic回归分析显示，性别、体质量指数、腰围、血压、空腹血糖水平、甘油三酯、高密度脂蛋白胆固醇、饮酒等与脂肪肝密切相关。结论济南市成人脂肪肝检出率较高，且以中老年多见。男性、肥胖、高血压、高脂血症、高血糖、饮酒等是脂肪肝患病的危险因素。

关键词: 脂肪肝；检出率；危险因素；流行病学；体检人群；Logistic回归分析

Abstract:

Objective To investigate the detectable rate of fatty liver and its associated risk factors in adult residents who had a physical examination in Jinan. Methods 2 162 adult residents aged over 18 years old who had a physical examination were included in the study. Age, height, weight, behavioral habits, liver function, serum lipid profile, fasting blood sugar and ultrasonographic features of the liver were collected. Results The overall detectable rate of fatty liver in Jinan city adult residents was 20.3% (22.0% in males vs 18.0% in females, P<0.05). It reached the peak value in the male group of 40- years old and in the female group of 50-years old. Logistic regression analysis showed that sex, body mass index (BMI), waist circumference, blood pressure, fasting blood sugar, triglyceride, high-density lipoprotein cholesterol and drinking were the risk factors which significantly correlated with fatty liver. Conclusions The detectable rate of fatty liver is high among adult residents in Jinan. Male, obesity, hypertension, hyperlipidemia, hyperglycemia and drinking are closely associated with fatty liver.

Key words: Fatty liver； Detectable rate； Risk factors； Epidemiology； Physical examination population； Logistic regression analysis

中图分类号:

R575.5

高西美1，王静2，杨晓云1，高立菊3，王凯4. 济南市体检人群脂肪肝检出率及危险因素[J]. 山东大学学报(医学版), 2012, 50(6): 119-121.

GAO Xi-mei1， WANG Jing2， YANG Xiao-yun1， GAO Li-ju3， WANG Kai4. Detectable rate and risk factors of fatty liver in the Jinan
physical examination population[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(6): 119-121.

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