脂肪肝超声诊断及血脂、血糖及肥胖相关性分析.docVIP

脂肪肝超声诊断及血脂、血糖及肥胖相关性分析 　【关键词】 脂肪肝；超声检查；甘油三酯类；总胆固醇；血糖；肥胖症 　　Ultrasonic diagnosis of fatty liver and its correlation with blood fat,blood glucose and obesity 　　【Abstract】AIM: To explore the value of ultrasound in the diagnosis of fatty liver and its correlation with blood fat,blood glucose and obesity. METHODS: From 1122 physical examinees from August 2005 to March 2006,360 cases of fatty liver and 762 normal controls were compared in the above 3 factors and age,body mass index(BMI). RESULTS: The prevalence rate of fatty liver in male was higher than that in female (46.3% vs 11.2%, Plt;0.05); the prevalence rate in 5160 years group was the highest(53.6%), and the prevalence rates among various age groups were significantly different via χ2 testing(Plt;0.05); four indexes of triglyceride(TG),total cholesterol(TC),blood glucose and BMI in patients with fatty liver were significantly higher than those in control group (Plt;0.05), and with the increase of severity,the risk of abnormal blood fat increased(Plt;0.05), the possibility of blood glucose abnormity increased as well(Plt;0.05). CONCLUSION: The incidence of fatty liver has a positive correlation with the levels in blood fat,blood glucose and obesity. Moreover,ultrasonic diagnosis has an important clinic application value for fatty liver. 　 　　【Keywords】 fatty liver; ultrasonography; triglycerides; total cholesterol; blood glucose; obesity 　　【摘要】目的： 探讨脂肪肝的超声诊断及脂肪肝与三酰甘油（TG），总胆固醇，血糖，肥胖的关系. 方法： 200508/200603门诊健康体检1122名脂肪肝360例和正常肝762例进行TG，总胆固醇(TC)，血糖(FPG)，身高，体质量测定，对结果进行分析比较. 结果： 脂肪肝患病率男性（46.3%）高于女性（11.2%），差异有统计学意义（Plt;0.05）；51～60年龄组患病率最高（53.6%）,各年龄组的患病率经χ2检验，差异有统计学意义（Plt;0.05）；脂肪肝组TG，总胆固醇，血糖，体重指数(BMI)4项指标均高于对照组（Plt;0.05），并且脂肪肝的程度越重，血脂异常率越大(Plt;0.05)，血糖异常率也越大（Plt;0.05）. 结论： 脂肪肝与血脂，血糖和肥胖有关. 此外，超声对脂肪肝的诊断有较高的临床实用价值. 　　【关键词】 脂肪肝；超声检查；甘油三酯类；总胆固醇；血糖；肥胖症 　　0引言 　　 　　脂肪肝是指脂肪在肝脏中的过度沉积，含量超过肝湿质量的5%［1］. 随着人们生活水平的提高，饮食结构的变化，以及超声技术的广泛应用，脂肪肝的阳性检出率逐年上升. 脂肪肝如能早期发现，早期治疗，则不仅可能阻止其进一步发展，而且有逆转的可能. 为了探讨超声诊断脂肪肝的价值及脂肪肝与血脂，血糖和肥胖的关系，我院对张家口市5个企事业单位的11