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目的了解医学院校教职工脂肪肝患病率,探讨脂肪肝患病率的影响因素,为脂肪肝的防治提供理论依据。方法收集该医学院校教职工体检结果,进行横断面调查。结果体检人数715人,可用于分析700人,脂肪肝总患病率34.70%,男性为43.80%,女性为26.30%。不同年龄组、不同性别脂肪肝患病率差异有统计学意义;单因素分析显示,高空腹血糖(FBG)、高血清总胆固醇(TC)、高甘油三酯(TG)、高血压、高血尿酸(UA)、高低密度脂蛋白胆固醇(LDL-C)、体质指数(BMI)增高是脂肪肝发生的可能危险因素,Logistic回归分析显示,性别、高TG、高血压、高LDL-C、BMI增高是脂肪肝发生的可能危险因素,OR值(95%CI)分别为1.576(1.055～2.354)、3.069(2.013～4.681)、1.877(1.124～3.136)、1.722(1.032～2.874)、7.275(4.613～11.475)。结论该医学院校教职工脂肪肝患病率处于较高水平。脂肪肝发生与BMI、TG、高血压、LDL-C、性别联系密切。
Objective To understand the prevalence of fatty liver in medical schools and to explore the influencing factors of the prevalence of fatty liver and to provide a theoretical basis for the prevention and treatment of fatty liver. Methods The physical examination results of the faculty and staff of the medical college were collected and the cross-sectional investigation was conducted. Results The number of physical examination was 715, which could be used to analyze 700 persons. The total prevalence of fatty liver was 34.70%, 43.80% for men and 26.30% for women. The prevalence of fatty liver in different age groups and different sexes was statistically significant. Univariate analysis showed that the prevalence of high blood pressure (FBG), high serum total cholesterol (TC), high triglyceride (TG), high blood pressure, high blood UA, LDL-C and body mass index (BMI) were the possible risk factors of fatty liver. Logistic regression analysis showed that gender, high TG, high blood pressure, high LDL-C, The higher BMI was the possible risk factor of fatty liver. The odds ratio (95% CI) was 1.576 (1.055-2.354), 3.069 (2.013-4.681), 1.877 (1.124-3.136), 1.722 (1.032-2.874) and 7.275 4.613 ~ 11.475). Conclusion The prevalence of fatty liver in teaching staff in medical colleges is at a high level. Fatty liver and BMI, TG, hypertension, LDL-C, gender are closely linked.