某高校教职工脂肪肝检出率与高脂血症关系分析

目的探讨某高校教职工脂肪肝与高脂血症的关系。方法以2011年5～12月在某高校健康体检的1316例教职工为调查对象,空腹采集静脉血,测定血液总胆固醇、三酰甘油水平;通过腹部超声影像学技术进行肝脏超声检查,检测脂肪肝。结果 1316例体检者中脂肪肝患者266例,检出率为20.21%。高脂血症患者393例,占被检人群的29.86%。脂肪肝人群高脂血症发病率明显高于非脂肪肝者(81.20%比16.86%,P<0.01)。脂肪肝男性检出率为25.88%,女性检出率为15.13%。男性检出率明显高于女性检出率(P<0.01)。结论高脂血症是某高校脂肪肝发病的主要危险因素之一,但并不是唯一的危险因素;性别也是脂肪肝的危险因素,男性高于女性;脂肪肝与三酰甘油关系密切,降脂治疗应该是该校脂肪肝患者的治疗重点之一;超声检查在脂肪肝的诊断中有重要的作用,能够做到早发现、早治疗。

Analysis of the Relationship between Detection Rate of Fatty Liver and Hyperlipidemia among Staff of Some University

Objective To investigate the relationship between fatty liver and hyperlipidemia of staff from a certain university.Methods The survey involved 1,316 cases of staff from a certain university who had participated in health examination from May to December in 2011.Fasting blood samples was drawn for determination of total cholesterol(TC),triglycerides(TG).Ultrasonic inspection was done for detection of fatty livers.Results Among the total 1316 cases,266 cases were detected fatty liver,detection rate 20.21%;hyperlipidemia was found in 393 cases and accounted for 29.86% of the total examined people.Incidence of fatty liver in the patients with hyperlipidemia was significantly higher that of the non-hyperlipidemia(81.20% vs 16.86%,P<0.01).The detection rate of fatty liver in man was 25.88%,in women was 15.13%,the former significantly higher than the latter(P<0.01).Conclusion Hyperlipidemia is one of the most remarkable risk factors for fatter liver of staff from a certain university,but not the only one factor;the gender is also a risk factor,male higher than female;fatty liver is closely related to triglyceride,lipid-lowering therapy should be emphasized as the prevention treatment of fatty liver of the university.Ultrasonography has an important role in the diagnosis of fatty liver,able to realize early detection and treatment.