徐州市中小学生脂肪肝与体质量指数和血脂水平关系分析.docVIP

徐州市中小学生脂肪肝与体质量指数和血脂水平关系分析 　　【摘要】 目的 探索中小学生脂肪肝与体质量指数、血脂水平之间的关系,为防治学生脂肪肝提供依据。方法 对徐州市5 264名学生用肥胖Quetelet指数法、超声诊断法和血脂检测方法诊断肥胖、脂肪肝和血脂水平,并分析脂肪肝与体质量指数、血脂的关系。结果 筛查出脂肪肝学生426例,与非脂肪肝组相比,性别之间差异有统计学意义(χ2=15.998,P0.05),年龄差异有统计学意义(t=13.122,P0.05)。脂肪肝组体质量指数、血脂水平(TG,HDL,LDL)与非脂肪肝组比较,差异均有统计学意义( P值均0.01)。脂肪肝的发生与TG、HDL-C、体重均有相关性(P值均0.05)。结论 超声诊断脂肪肝与体质量指数增大、高脂血症有高度相关,对中小学生人群普查具有重要的现实意义,值得推广应用。 　　【关键词】 脂肪肝;体质量指数;血液化学分析;脂肪酸类;学生 　　【中图分类号】 R 179 R 589.2 【文献标识码】 A 【文章编号】 1000-9817(2009)08-0731-02 　　 　　Relationship Between BMI Blood Fat and Fatty Liver of Primary and Middle School Students in Xuzhou/YAO Ling-ling*, XU Zhan-zhong, LI Lei, et al. * Xuzhou Center for Disease Control and Prevention, Xuzhou(221006), Jiangsu Province,China 　　【Abstract】 Objective To explore relationship between body mass index, blood fat and fatty liver, in order to guide students preventing fatty liver. Methods By using Quetelet index of obesity, ultrasound diagnostic method and blood lipid detection, 5 264 students obesity, fatty liver and lipid level were diagnosed to analyze relationship between body mass index, blood lipid and fatty liver. Results There were 426 cases of fatty liver students. Compared with non-fatty live, there were significant differences in gender (χ2=15.998,P0.05)and age (t=13.122,P0.05). There were also significant differences between fatty liver group and non-fatty live in body mass index, lipid level (TG, HDL, LDL) (P0.01). There were correlation between the occurrence of fatty liver and TG, HDL-C and weight(P0.05). Conclusion There is a high correlation between large body mass index, hyperlipidemia and ultrasound diagnosis of fatty liver. Ultrasound diagnosis of fatty liver should be generalized for it of great realistic significance in group survey among primary and middle school students. 　　【Key words】 Fatty liver;Body mass index;Blood chemical analysis;Fatty acids;Students 　　 　　脂肪肝是一种脂质过多沉积在肝脏的疾病,其特点是肝细胞内出现大量脂肪颗粒,超声检查有特异性改变。随着人们生活水平的提高和饮食结构的改变,脂肪肝的发病率在逐年增高,是当今发病率不断增加的一种慢性代谢性