某银行职工脂肪肝患病情况调查分析

目的调查某银行职工群体脂肪肝的患病率及其主要危险因素,对患病情况进行描述和分析,并提出有关防治对策和措施,控制和减少脂肪肝的发生。方法根据腹部B超检查结果诊断为脂肪肝者,通过问卷调查,行脂肪肝的性别、年龄、体质量指数（BMI）、饮酒量、高血压史等分布进行描述和分析。结果 1 237名银行职工中,脂肪肝者266例,患病率为21.5%。在266例脂肪肝患者中,男性占比（63.5%,169/266）高于女性57.4%（97/266）,差异有统计学意义（χ^2=123.392,P〈0.01）。不同年龄段患病率比较,差异有统计学意义（χ^2=125.898,P〈0.01）。BMI≥24 kg/m^2者脂肪肝患病率明显高于BMI〈24 kg/m^2者,差异有统计学意义（P〈0.01）。饮酒每天达40 g或每周累计达140 g超过5年的患者,酒精性脂肪肝占比（70.7%,188/266）高于未达上述标准的患者（29.3%,78/266）,差异有统计学意义（P〈0.01）。266例脂肪肝患者中,血糖增高35例（13.2%）,其中有糖尿病史15例;胆固醇增高47例（17.7%）;三酰甘油增高117例（44.0%）;高血压46例（17.3%）;且男性与女性比较,差异均有统计学意义（P〈0.001）。结论该银行职工脂肪肝患病率较高,且有年轻化和随年龄加重的趋势;肥胖、三酰甘油、总胆固醇、高血压增加脂肪肝患病风险,应采取干预措施,控制和减少脂肪肝的发生。

Investigation and analysis of the prevalence of fatty liver among bank employees

Objective To investigate the prevalence and the risk factors of fatty liver among the employees in a bank, and to describe and analyze the prevalence,so as to propose countermeasures,control and reduce the occurrence of fatty liver. Methods The fatty liver was diagnosed through abdominal B-ultrasound. To analyze and describe the distribution of gender, age,body mass index（BMI）,capacity of alcohol and hypertension history by questionnaire. Results Among the 1 237 employees, 266 cases were diagnosed with fatty liver with the prevalence rate of 21.5%. The prevalence rate of the male employees（63.5%, 169/266） was significantly higher than that of the female employees（57.4%,97/266）（χ^2=123.392,P〈0.01）. The difference on prevalence among different age groups was statistically significant（χ^2=125.898,P〈0.01）. The prevalence rate of the employee with the BMI≥24 kg/m^2was significantly higher than that of the BMI〈24 kg/m^2（P〈0.001）. The patients who drunk up to 40 g daily or 140 g weekly for 5 years（70.7%,188/266） was higher than those without meeting above indicators on prevalence rate of fatty liver（29.3%,78/266） with statistically significant difference（P〈0.01）. Among the 266 patients with fatty liver,blood glucose increased in 35 cases（13.2%） including 15 cases of diabetes history;cholesterol raised in 47 cases（17.7%）;triacylglycerol increased in 117 cases（44.0%）;hypertension occurred in 46 case（17.3%）,and the difference between genders had statistically significant difference（P〈0.001）. Conclusion The employees in the bank have high prevalence rate of fatty liver with rejuvenation and the increasing trend with age. Obesity,triacylglycerol,total cholesterol and hypertension increase the risk of fatty liver,so intervention measures should be taken to control and reduce the occurrence of fatty liver.