目的本研究旨在了解郑州市区老年人群(≥60岁)脂肪肝发病分布趋势,为郑州市老年人群脂肪肝防治提供科学依据。方法以在河南省军区直属医院参加体检的2 155例老年人为研究对象,男1 136人,女1 019人,对其进行收集资料进行统计学分析。结果在该老年人群脂肪肝为968人,检出率为44.92%。轻度脂肪肝、中度脂肪肝、重度脂肪肝检出率男性均明显高于女性,差异具有统计学意义(P〈0.01);相关因素检出率脂肪肝组明显高于非脂肪肝组,差异具有统计学意义(P〈0.01)。logistic回归分析:脂肪肝与性别、舒张压、胆固醇、甘油三脂、高密度脂蛋白、高血糖、尿酸、谷丙转氨酶相关。结论脂肪肝检出率较高,已成为我国的公共卫生问题,养成良好的生活习惯,相关因素的控制是防止脂肪肝发生的重要措施。
Objective To analyzed the trends in the distribution of fatty liver disease of the urban elderly population in Zhengzhou(≥60 years),this study aims to provide a scientific basis for prevention and treatment of fatty liver.Methods Based on 2 155 cases of elderly patients who participated in physical examination in the military hospital of Henan province,including 1 136 males and 1 019 females,this study collects the relative data for statistical analysis.Results There are 968 cases of fatty liver and the detection rate is 44.92%.The rates of mild fatty liver,moderate fatty liver,severe fatty liver among females are obviously higher than those of females,and differences of the detection rates have a statistical significance(P0.01);Detection rates of fatty liver and related factors in the fatty liver group are clearly higher than those of non-fatty liver group,and the differences are statistically significant(P0.01).Logistic regression analysis: Fatty liver is related to gender,diastolic blood pressure,cholesterol,triglycerides,high density lipoprotein,high blood sugar,uric acid and alanine aminotransferase.Conclusions The high detection rate of fatty liver becomes a problem which threads public health.Cultivating good life habits and controlling the factors related to fatty liver are important measures to prevent the fatty liver disease.