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目的了解部队飞行员脂肪性肝病发病状况、探索发病风险,为防治提供依据。方法以某部现役飞行员为调查对象,采用问卷调查方式;并测量体质量、身高、肝功、血脂、血糖等;彩色多普勒超声检查肝脏。结果 682例飞行员共检出脂肪性肝病141例,检出率为20.7%。30岁以下组、31~40岁组、41岁以上组发病率分别为6.4%、22.5%、43.6%。脂肪肝组平均体质量、血甘油三酯含量和代谢综合征发病率均明显高于正常组(P<0.01,P<0.05)。结论在现役飞行员中脂肪性肝病检出率较高,脂肪性肝病患者容易合并代谢综合征。体质量增加、高脂血症、年龄是脂肪肝发病危险因子。
Objective To understand the incidence of fatty liver disease among pilots in pilots and to explore the risk of onset and provide the basis for prevention and treatment. Methods Taking a pilot in active service as the investigation object, a questionnaire was used to measure the body weight, height, liver function, blood fat, blood sugar and so on. The liver was examined by color Doppler sonography. Results A total of 141 cases of fatty liver disease were detected in 682 pilots, with a detection rate of 20.7%. The incidence of under-30, 31 to 40-year-old group and over 41-year-old group were 6.4%, 22.5% and 43.6% respectively. The mean body mass, triglyceride content and morbidity of metabolic syndrome in fatty liver group were significantly higher than those in normal group (P <0.01, P <0.05). Conclusions The prevalence of fatty liver disease is high among active pilots, and patients with fatty liver disease are likely to have metabolic syndrome. Increase in body mass, hyperlipidemia, and age are risk factors for fatty liver disease.