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目的了解北京市怀柔区公安系统在职职工脂肪肝患病情况及脂肪肝的发病病因,为实施脂肪肝干预,合理的防治,降低由脂肪肝引起并发症的发生率提供依据。方法采取整群随机抽样方法,在严格的质量控制下,于2010年3—6月对怀柔区公安系统在职男性职工进行健康检查,并进行统计学分析。结果脂肪肝患病率为49%;血脂异常检出率57.4%,血脂异常者脂肪肝患病率为62.1%,超重肥胖患病率为67.3%,超重肥胖者患脂肪肝均为65.99%。高血糖患脂肪肝的为80.8%。结论脂肪肝的发生与年龄有关,随着年龄的增长患病率增高。脂肪肝的主要危险因素是超重肥胖、血脂异常、高血糖、饮食不规律,缺乏体育锻炼,自我管理意识差。
Objective To understand the prevalence of fatty liver and the pathogenesis of fatty liver among serving employees in public security system in Huairou District, Beijing, and to provide basis for the implementation of fatty liver intervention, reasonable prevention and control and reducing the incidence of complications caused by fatty liver. Methods A cluster random sampling method was used to carry out the health examination of male employees in service in public security system in Huairou district from March to June in 2010 under the strict quality control. Statistical analysis was conducted. Results The prevalence of fatty liver was 49%. The prevalence of dyslipidemia was 57.4%. The prevalence of fatty liver was 62.1%. The prevalence of overweight and obesity was 67.3%. Fat overweight and obesity patients were 65.99%. Hypertensive patients with fatty liver was 80.8%. Conclusion The incidence of fatty liver is related to age, and the prevalence increases with age. The main risk factors for fatty liver are overweight and obesity, dyslipidemia, hyperglycemia, irregular diet, lack of physical exercise and poor self-management.