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目的了解某企业职工脂肪肝检查情况及相关因素,为防治脂肪肝提供依据。方法对2011年在银川市疾病制预防控中心进行职业健康体检的某企业1 955名职工的体检资料进行统计分析,内容包括腹部B超,血压测量,实验室检查:血清胆固醇(TC)、甘油三酯(TG)、血糖(FBS)、谷丙转氨酶(ALT)、血尿酸(Sua),内科检查等。结果某企业职工脂肪肝总检出率为18.1%,其中男性检出率为22.1%、女性检出率为8.5%,男女性别检出率差异有统计学意义(P<0.05)。随着年龄的增加,脂肪肝的检出率呈上升趋势,但30岁以下组也达到了10.1%的较高值,各年龄组脂肪肝检出率差异有统计学意义(P<0.05)。经单因素和多因素分析,年龄、性别、高甘油三酯、高血压、高血糖为脂肪肝的危险因素。结论某企业职工脂肪肝检出率较高,性别、年龄、高甘油三酯、高胆固醇、高血糖、高血压是脂肪肝的危险因素,并呈发病年龄提前及年轻化趋势,应针对这些危险因素加强预防和治疗。
Objective To understand the status of fatty liver in an enterprise and its related factors to provide basis for prevention and treatment of fatty liver. Methods A total of 1 955 medical staff of a certain enterprise engaged in occupational health examination in Yinchuan Disease Prevention and Control Center in 2011 were analyzed. The data included abdominal B ultrasound, blood pressure measurement, laboratory tests: serum cholesterol (TC), glycerol Triglyceride (TG), blood glucose (FBS), alanine aminotransferase (ALT), blood uric acid (Sua), medical examination and so on. Results The total detection rate of fatty liver in a certain enterprise was 18.1%. The detection rate was 22.1% for males and 8.5% for females. There was significant difference in the detection rate of male and female (P <0.05). With the increase of age, the detection rate of fatty liver was on the rise. However, the rate of fatty liver was also higher in under 30 years old group (10.1%). There was significant difference in the detection rate of fatty liver among all age groups (P <0.05). Univariate and multivariate analysis showed that age, gender, triglyceride, hypertension and hyperglycemia were the risk factors for fatty liver. Conclusion The detection rate of fatty liver in workers in a certain enterprise is high. Sex, age, high triglyceride, high cholesterol, high blood sugar and high blood pressure are the risk factors of fatty liver. Factors to strengthen prevention and treatment.