摘要
目的探讨健康体检的医院职工脂肪肝患病现状及其与高脂血症的关系。方法2006年7月～2006年8月在本院体检的具有高级职称或年龄≥40岁的医疗单位职工共1277例,进行肝脏超声检查和血清甘油三酯（TG）、总胆固醇（TC）检测。结果1277例受检者中,共检出脂肪肝453例,检出率为35.47%（453/1277）。男性脂肪肝的检出率44.36%（236/532）明显高于女性29.13%（217/745）（P〈0.01）。50～59岁组脂肪肝检出率最高,为42.55%;男性脂肪肝50～59岁组检出率最高,为55.34%;女性60～69岁组脂肪肝检出率最高为44.35%。在〈60岁人群中,男性脂肪肝的检出率显著高于女性（P〈0.01）,而在≥60岁人群中,男性和女性脂肪肝检出率无显著性差异。高脂血症的检出率46.67%（596/1277）。高TG血症组、高TC血症组和MHLP组脂肪肝的检出率分别为53.56%（188/351）、36.17%（34/94）和60.93%（92/151）,均显著高于血TG和TC正常组脂肪肝的检出率20.41%（139/681）（P〈0.01）。高TG血症组和MHLP组脂肪肝的检出率亦分别高于高TC血症组（P〈0.01）。结论具有高级职称或年龄≥40岁的医院职工脂肪肝和高血脂症患病率较高,脂肪肝与年龄、高脂血症尤其高TG血症关系密切。
Aim To investigate the prevalence of fatty liver in the hospital employees for health examination and its correlation with hyperlipidema.Methods 1 277 cases of hospital employees with high professional title or aged 40 or older were examined for health condition between July and August 2006.Liver ultrasonic inspection was carried out,and serum TG,TC were detected.Results The prevalence of fatty liver was 35.47%（453/1 277）.The prevalence of fatty liver in males（44.36%,236/532） was significantly higher than that in females（29.13%,217/745）（P〈0.01）.The prevalence of fatty liver in age group of 50～59 accounted for 42.55%,being highest.The highest prevalence of male fatty liver was in age group of 50～59,accounting for 55.34%,while that of female fatty liver was in age group of 60～69,accounting for 44.35%.For people younger than 60,the prevalence of fatty liver in males was significantly higher than that in females（P〈0.01）.For people above 60-yearold there was no significant difference.The prevalence of hyperlipidema was 46.67%（596/1277）.The prevalence rate of fatty liver in hypertriglyceridemia,hypercholesterolemia and mixed hyperlipidemia group was 53.56%（188/351）,36.17%（34/94）and 60.93%（92/151） respectively,of which was significantly higher than that in normal serum TG and TC group（20.41%,139/681）（P〈0.01）.The prevalence rate of fatty liver in hypertriglyceridemia and mixed hyperlipidemia group was significantly higher than that in hypercholesterolemia respectively（P〈0.01）.Conclusions The prevalence of fatty liver and hyperlipidemia in the hospital employees with high professional title or aged 40 or older for health examination was high.Fatty liver disease was closely correlated with age and hyperlipidemia,especially hypertriglyceridemia.
出处
《安徽医药》
CAS
2008年第9期834-836,共3页
Anhui Medical and Pharmaceutical Journal
关键词
脂肪肝
超声诊断
甘油三酯
总胆固醇
fatty liver
ultrasonic diagnosis
triglyceride
total cholesterol
