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目的调查和评估脂肪肝在体检人群中的流行状况,探讨脂肪肝与高尿酸血症、体重指数之间的关系。方法收集6 984例体检人群相关资料,对1 752例健康体检B超检查确诊脂肪肝的受检者,根据高尿酸血症的诊断标准及体重指数的划分,对其进行相关性分析研究。结果本次体检者中脂肪肝的检出率为25.3%,脂肪肝患者中伴发有高尿酸血症的患病率为37.2%,脂肪肝与非脂肪肝患者中高尿酸血症的患病率差异有统计学意义(P<0.05),男性脂肪肝高尿酸血症检出率高于女性。脂肪肝与非脂肪肝患者中体重指数差异有统计学意义(P<0.05),随着体重指数增加,脂肪肝发病率增高。结论 (1)男性是脂肪肝的主要好发人群;(2)脂肪肝患者同时患有高尿酸血症的患病率明显高于非脂肪肝患者,脂肪肝与高尿酸血症有着一定的相关性;(3)体重指数与脂肪肝具有显著相关性。脂肪肝受多种因素影响,脂肪肝的防治不仅要注意肥胖的控制,还应注意高尿酸血症等相关疾病的治疗。
Objective To investigate and evaluate the prevalence of fatty liver in medical examination population and to explore the relationship between fatty liver and hyperuricemia and body mass index. Methods A total of 6 984 medical examinations were collected. A total of 1 752 subjects with fatty liver diagnosed by B-mode ultrasound examination were collected. According to the diagnostic criteria of hyperuricemia and body mass index, the correlation analysis was conducted. Results The detection rate of fatty liver was 25.3% in the physical examination, the prevalence of hyperuricemia in patients with fatty liver was 37.2%, the prevalence of hyperuricemia in patients with fatty liver and non-fatty liver The difference was statistically significant (P <0.05), male fatty liver hyperuricemia detection rate higher than women. There was significant difference in body mass index between fatty liver and non-fatty liver patients (P <0.05). With the increase of body mass index, the incidence of fatty liver increased. Conclusions (1) Male is a major predilection for fatty liver. (2) The prevalence of concurrent hyperuricemia in patients with fatty liver is significantly higher than that in non-fatty liver patients. Fatty liver has some correlation with hyperuricemia (3) body mass index and fatty liver has a significant correlation. Fatty liver affected by many factors, prevention and treatment of fatty liver not only pay attention to the control of obesity, but also pay attention to the treatment of hyperuricemia and other related diseases.