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[目的]探讨鹤壁市直机关和学校人群脂肪性肝病的患病率,为早期干预及改善脂肪性肝病预后提供依据。[方法]对在鹤壁市京立医院体检中心健康体检的市直机关和学校人群进行调查,内容包括问诊、既往病史、体格检查、肝胆胰脾B超、血脂、血糖、血流变、肝功能、乙肝5项等检查。[结果]4363人完成调查,男性脂肪性肝病患病率35.74%,高于女性14.93%,性别间患病率差异有统计学意义(P﹤0.001)。总体脂肪性肝病患病率有随年龄增长而增加的趋势。男性在50～60岁年龄段患病率达峰值为40.11%,女性在60～70岁年龄段患病率达峰值为40.55%。脂肪性肝病组高血压、高脂血症、高血糖、高粘血症患病率为36.88%、51.04%、30.72%、58.56%,高于非脂肪性肝病组16.61%、14.55%、9.16%、28.27%,差异均有统计学意义(P﹤0.001)。市直机关脂肪性肝病患病率为31.32%,高于学校组23.19%,差异有统计学意义(P﹤0.001)。[结论]鹤壁市直机关和学校脂肪性肝病的患病率较高,且与性别、年龄、职业、高血压、高脂血症、高血糖、高粘血症密切相关。
[Objective] To investigate the prevalence of fatty liver disease in Hebi municipal authorities and school population, and to provide basis for early intervention and improvement of prognosis of fatty liver disease. [Methods] The investigation was conducted on the municipal organs directly under the central government and the school population in the physical examination center of Hebi City Jingli Hospital. The questionnaires included interrogation, past medical history, physical examination, B-ultrasound of liver, gallbladder, pancreas and spleen, blood lipid, blood glucose, , Hepatitis B and other 5 check. [Results] 4363 people completed the survey, the prevalence of fatty liver disease in males was 35.74%, which was 14.93% higher than that in females. There was a significant difference in the prevalence among males (P <0.001). The overall prevalence of fatty liver disease tends to increase with age. The prevalence rate of males in the age group of 50-60 years reached 40.11%, and the prevalence rate of females in the age group of 60-70 years old reached 40.55%. The prevalence rates of hypertension, hyperlipidemia, hyperglycemia and hyperviscosity in fatty liver disease group were 36.88%, 51.04%, 30.72% and 58.56%, higher than those in non-fatty liver disease group (16.61%, 14.55% and 9.16% , 28.27%, the difference was statistically significant (P <0.001). The prevalence of STDs was 31.32%, higher than that of 23.19% in school groups, with a significant difference (P <0.001). [Conclusion] The prevalence of fatty liver disease in Hebi city authorities and schools is high, and is closely related to gender, age, occupation, hypertension, hyperlipidemia, hyperglycemia and hyperviscosity.