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目的探讨中老年退休职工的脂肪肝患病情况及其相关因素。方法分析2476例中老年退休职工的体检资料,包括病史、身高、体重、血压、血糖、血脂、血尿酸、超声等检测结果,进行性别、年龄分层后脂肪肝患病率及相关因素比较。结果 2476例中老年退休职工,检出脂肪肝887例(35.82%),女性脂肪肝检出率39.58%,男性脂肪肝检出率33.27%,女性退休职工脂肪肝检出率较男性显著升高(P<0.01);脂肪肝组血压、BMI、TG、TC、FBG、UA均显著高于非脂肪肝组(P<0.01),而HDL-C显著低于非脂肪肝组(P<0.01)。脂肪肝组超重、空腹血糖升高、高血脂、高血压病、高尿酸血症比率均显著高于非脂肪肝组(P<0.01)。结论退休中老年人尤其老年女性的脂肪肝发病率较高,中老年人脂肪肝患病率与性别、血压、BMI、TG、TC、FBG、UA等因素密切相关。
Objective To explore the prevalence and related factors of fatty liver in retired middle-aged and elderly people. Methods The physical examination data of 2476 middle-aged and elderly retired workers were analyzed, including the history, height, weight, blood pressure, blood glucose, blood lipid, serum uric acid and ultrasound. The prevalence of fatty liver and related factors were compared after gender and age stratification. Results Among 2476 middle-aged and elderly retired workers, 887 cases (35.82%) of fatty liver were detected, the detection rate of fatty liver in women was 39.58%, and the detection rate of fatty liver in males was 33.27%. The detection rate of fatty liver in retired workers was significantly higher than that of male (P <0.01). The levels of blood pressure, BMI, TG, TC, FBG and UA in fatty liver group were significantly higher than those in non-fatty liver group (P <0.01) . Fatty liver group overweight, fasting blood glucose, hyperlipidemia, hypertension, hyperuricemia were significantly higher than non-fatty liver group (P <0.01). Conclusion The prevalence of fatty liver in retired middle-aged and elderly especially elderly women is high. The prevalence of fatty liver in middle-aged and elderly people is closely related to such factors as gender, blood pressure, BMI, TG, TC, FBG and UA.