脂肪肝与冠心病危险因素的相关性

目的探讨脂肪肝与冠心病危险因素之间的关系。方法调查自2005年5月～2007年12月1496例我院住院患者，其中男704例，女792例，年龄50～70岁。采取对照研究的方法，分析其脂肪肝与性别、吸烟、肥胖、高血压、高胆固醇血症、高甘油三脂血症、糖尿病之间的相关性。结果非肥胖者脂肪肝患病率老年男性为3．2％，老年女性为3．7％。肥胖者脂肪肝患病率老年男性21．6％，老年女性18．8％。与伴有或不伴脂肪肝的肥胖者相比，伴有脂肪肝的非肥胖者中，男性高血压、低-高密度脂蛋白胆固醇血症发病率高；女性高胆固醇血症、低-高密度脂蛋白血症、高甘油三酯血症以及糖尿病和糖耐量异常发病率高。结论老年患者中，脂肪肝男女发病率相同，脂肪肝与冠心病的危险因素有相关性。

Clinical observation on the correlation of fatty liver with coronary atherosclerosis heart disease

Objective To investigate the correlation of non - alcohol fatty liver with the risk factors of coronary heart diseases. Methods Totally 700 erlderly men and 800 elderly women all hospitalized from 2005 to 2007 were investigated. The prevalence of fatty liver was 3.2% in the male and 3.7% in the female non - obese participants and 21.5% in the male and 18.7% in the female obese participants. Results The prevalence of fatty liver was 3.2% in elderly male and 3.78% in the female non - obese participants, and 21.6% in the male and 18.8 in the female obese participants, non - hesity with fatty liver , rather than obesity with fatty liver , had the highest odds ratio for hypertension and low - HDL cholesterol in the men and for hypercholesterolemia,low - HDLcholesterol,hypertriglyceridemia and DM ＋ IGT in the women. Conclusion The prevalence of fatty liver is the same in elderly men and women , and fatty liver is an independent correlate of coronary risk factors in the elderly.