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目的探讨脂肪肝与高血脂、高血糖的关系,为脂肪肝的防治提供可靠的依据。方法对913名电力系统职工进行健康检查,用B超诊断脂肪肝后比较脂肪肝组和非脂肪肝对照组高血脂、高血糖的检出率。结果脂肪肝发病率男性大于女性;脂肪肝患者大多伴有糖、脂代谢异常,脂代谢异常中以高甘油三酯血症、混合型高血脂血症为主分别为31.09%、20.97%;男、女及男女合半脂肪肝人群高甘油三酯血症、混合型高脂血症、高血糖的检出率均高于对照组,差异有统计学意义(P<0.01),而胆固醇的差异没有统计学意义。结论高甘油三酯血症、混合型高脂血症、高血糖是脂肪肝的易感因素。
Objective To investigate the relationship between fatty liver and hyperlipidemia and hyperglycemia and provide a reliable basis for the prevention and treatment of fatty liver. Methods Nine hundred and thirteen workers in the power system were inspected for their health. The diagnostic rates of hyperlipidemia and hyperglycemia in fatty liver group and non-fatty liver control group were compared by B-mode ultrasonography. Results The incidence of fatty liver was higher in males than in females. Fatty liver patients were mostly associated with abnormal glucose and lipid metabolism. Among them, hypertriglyceridaemia and hyperlipidemia were the major causes of hypertriglyceridemia, with 31.09% and 20.97%, respectively , The prevalence of hypertriglyceridemia, mixed hyperlipidemia and hyperglycemia in women and men and women with combined fatty liver were significantly higher than those in the control group (P <0.01), while the differences in cholesterol No statistical significance. Conclusions Hypertriglyceridemia, mixed hyperlipidemia and hyperglycemia are susceptible factors of fatty liver.