普洱地区体检人群脂肪肝患病率及危险因素剖析.docVIP

普洱地区体检人群脂肪肝患病率及危险因素剖析 　　[摘要] 目的 探究普洱地?^体检人群中脂肪肝的患病率以及相关影响因素。方法 整群选取2 489 名于2014年4月―2016年6月期间在普洱市人民医院进行体检的市民，对其一般资料以及体检结果进行收集，根据既往文献以及专家组讨论结果分析可能导致脂肪肝的危险因素，主要包括：肥胖、长期饮酒、高血压、空腹血糖异常、肝功能异常等。根据体检市民是否患有脂肪肝做为分组依据，将患有脂肪肝者分为A组，将未患有脂肪肝者设为B组，对比两组患者一般资料中具有差异的项并采用Logistic回归方程进行计算。结果 对所有患有脂肪肝的患者进行统计，共有849例，占比34.11%，为A组，未患有脂肪肝的B组共1 640名，占比65.89%。A组中肥胖、长期饮酒、空腹血糖异常、肝功能异常以及高血压的例数分别为784、518、403、443、625，B组以上数据分别为841、226、166、151、1 019 ，A、B两组体检者以上资料对比差异有统计学意义（P0.05）。将上述有差异资料带入Logistic回归方程中计算，结果发现，肥胖、长期饮酒、高血压、空腹血糖异常、肝功能异常均是脂肪肝的危险因素因素。结论 应当在普洱市进行相关脂肪肝的健康宣教，告知市民肥胖、长期饮酒、高血压、空腹血糖异常、肝功能异常均可导致脂肪肝的发生，提倡进行定期体检预防脂肪肝。 　　[关键词] 体检人群；脂肪肝；患病率；危险因素 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0031-03 　　[Abstract] Objective To study the morbidity rate of hepatic adipose infiltration and related influence factors of physical examination population in Puer area. Methods Group selection 2 489 cases of physical examination citizens in our hospital from April 2014 to June 2016 were selected and the general data and physical examination results were collected and the potential risk factors of hepatic adipose infiltration were analyzed according to the past literatures and discussion results of panels， including obesity， long-term drinking， hypertension， fasting pathoglycemia and dysfunction of liver， and the citizens were divided into two groups according to whether the citizens suffered from hepatic adipose infiltration or not， and the indexes with difference in the general data were compared and calculated by the Logistic regression equation. Results There were 849 cases with hepatic adipose infiltration， accounting for 34.11% and 1 640 cases of patients without hepatic adipose infiltration， accounting for 65.89%， the differences in the case numbers of obesity， long-term drinking， fasting pathoglycemia and dysfunction of liver and hypertension between the group A and group B had statistical significance， （784，518，403，443，625 vs 841，226，166，151，1 019）（P0.05）， and the results showed that obesity， lo