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目的:了解衢州市农民脂肪肝患病情况,分析其致病相关因素。方法:结合新型农村合作医疗健康体检工程,随机抽取郊区和山区农村健康体检人员,腹部超声筛查脂肪肝患者,抽取静脉血作代谢生化指标检测,并对脂肪肝形成相关因素进行统计学分析。结果:脂肪肝的超声检出率为8.20%(1 615/18 070),其中郊区组检出率12.49%,山区组检出率5.48%,两组差异有统计学意义(P<0.01)。郊区组检出率男性(11.68%)低于女性(13.12%),男性检出率最高的是60~69岁年龄段,女性最高的是50~59岁年龄段;山区组检出率男性(6.64%)高于女性(4.51%);郊区组各年龄段的脂肪肝检出率均高于山区组;单因素与多因素Logistic回归分析均表明:脂肪肝的相关因素是肥胖、胆石症、高甘油三酯血症、糖尿病和高血压。结论:郊区农村已是脂肪肝等代谢性疾病的高发区,要重点加强郊区农村人群代谢性疾病监测管理和健康宣传教育。
Objective: To understand the prevalence of fatty liver disease among peasants in Quzhou City and to analyze the related factors of its pathogenesis. Methods: In combination with the new rural cooperative medical health check-up project, we randomly selected health examination personnel in rural areas and rural areas, screened patients with fatty liver by abdominal ultrasonography and venous blood samples were collected for biochemical detection of metabolic and statistical analysis of the factors related to the formation of fatty liver. Results: The detection rate of fatty liver was 8.20% (1 615/18 070). The detection rate of suburban group was 12.49% and that of mountainous group was 5.48%. There was significant difference between the two groups (P <0.01). The detection rate in suburban group was lower than that in female (13.12%), male (11.68%), female (60-69), and female 6.64%) than female (4.51%). The detection rate of fatty liver in each age group in suburban group was higher than that in mountainous group. Logistic regression analysis showed that the related factors of fatty liver were obesity, cholelithiasis, Hypertriglyceridemia, Diabetes and Hypertension. Conclusion: Suburban rural areas are already high incidence of fatty liver disease and other metabolic diseases. We should focus on strengthening the monitoring and management of metabolic diseases and publicity and education of rural residents in suburban areas.