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[目的]研究脂肪肝与高血压、肥胖、血糖、血脂及血尿酸等代谢相关性疾病的关系,为临床治疗提供参考。[方法]对安岳县1450例体检者均行乙肝两对半、肝功、肾功、血脂、血糖、血尿酸、血常规、尿常规检查及肝、胆、胰、脾、双肾等脏器的超声检查,比较脂肪肝患者与非脂肪肝患者患高血压病、肥胖、糖尿病、高脂血症及高尿酸血症的差异;脂肪肝检出率在年龄及性别上的差异。[结果]脂肪肝组并存肥胖、高血压、糖尿病等疾病者明显高于非脂肪肝组。脂肪肝组中,男性脂肪肝检出率明显高于女性,差异有统计学意义(χ2=51.901,P﹤0.001)。40～49岁及50～59岁男性脂肪肝检出率均高于女性,差异有统计学意义(卡方值分别为χ2=42.866和χ2=14.181)。[结论]脂肪肝是代谢相关性疾病在消化器官的局部表现。
[Objective] To study the relationship between fatty liver and hypertension, obesity, blood glucose, blood lipid and serum uric acid and other metabolic-related diseases and provide reference for clinical treatment. [Methods] The 1450 cases in Anyue County were subjected to two pairs of liver biopsy, liver function, kidney function, blood fat, blood sugar, blood uric acid, blood and urine routine examination and liver, gallbladder, pancreas, spleen and kidney Ultrasound examination of patients with fatty liver compared with patients with non-fatty liver hypertension, obesity, diabetes, hyperlipidemia and hyperuricemia differences; fatty liver detection rate differences in age and gender. [Results] Fatty liver group coexisted with obesity, hypertension, diabetes and other diseases were significantly higher than non-steatohepatitis group. Fatty liver group, male fatty liver detection rate was significantly higher than the female, the difference was statistically significant (χ2 = 51.901, P <0.001). The detection rates of fatty liver in 40-49 years old and 50-59 years old men were higher than those in women (chi square = 42.866 and χ2 = 14.181, respectively). [Conclusion] Fatty liver is a localized manifestation of metabolic-related diseases in digestive organs.