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目的通过对天津市某厂区员工体检,了解其健康状况,对脂肪肝的患病情况进行分析。方法对天津市某企业员工4 912人进行体检和实验室检查,采用B超进行脂肪肝筛检,分析结果与健康人群数据进行比较,分析不同性别人群差异。结果 4 912名接受检查职工中,有4 845人接受B超检查,占总人数98.6%,67人拒绝做B超检查,占总人数1.4%。B超检查结果有2 916人检查正常,1 929人结果异常,其中,检查出患脂肪肝832人,占实际检查人数17.2%(832/4 845)。男性脂肪肝检出率高于女性(χ2=146.47,P=0.01),差异有统计学意义;血脂异常对脂肪肝患病有影响。结论应加强脂肪肝的健康教育宣传,促进生活方式改善,以预防和控制脂肪肝。
Objective To understand the health status of employees in a factory in Tianjin and analyze the prevalence of fatty liver. Methods A total of 4 912 employees in an enterprise in Tianjin were examined by a physical examination and a laboratory test. The fatty liver was screened by B ultrasound. The results of the analysis were compared with those of the healthy population, and the differences among different sex groups were analyzed. Results Of the 4 912 employees examined, 4 845 received B-ultrasound, accounting for 98.6% of the total, while 67 refused to do B-ultrasound, accounting for 1.4% of the total. There were 2 916 normal B tests and 1 929 abnormal findings. Among them, 832 were diagnosed with fatty liver, accounting for 17.2% (832/4 845) of the actual tests. The detection rate of fatty liver in males was higher than that in females (χ2 = 146.47, P = 0.01). The difference was statistically significant. The dyslipidemia had an effect on the prevalence of fatty liver. Conclusions Health education and publicity on fatty liver should be strengthened to improve lifestyle and prevent and control fatty liver.