桂西地区机关工作者脂肪肝发生与血脂及其他相关危险因素调查

目的调查广西西部地区脂肪肝发生与血脂、血糖、肥胖、血压、饮酒等因素的相关性及该人群的脂肪肝发生状况。方法随机抽取百色市饥关事业单位体检职员共3624名测定总胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、空腹血糖（FBG）、体重指数（BMI）、血压、肝脏B超及饮酒状况。结果共检出脂肪肝512例，患病率为14．13％，其中男272例（13．20％）、女240例（15．34％）。脂肪肝患者中饮酒者404例（78．91％），肥胖者207例（40．42％），脂肪肝伴高血压病者173例（33．79％）；空腹血糖≥5．6mmol／L者70例（13．67％），高TG血症255例（49．80％）、高TG血症293例（57．22％）、高LDL-C血症369例（72．07％）、低HDL-C血症232例（45．31％）。结论脂肪肝的发生随着年龄的增长而增加，发病率无明显性别差异。饮酒是该人群发生脂肪肝的首要危险因素，其次的危险因素依次为肥伴、高血脂症、高血压、糖代谢紊乱等。

Investigation on blood lipid and other risk factors in public employees with fatty liver in minority nationalities area

Objective To investigate the relationship between the occurance of fatty liver and risk factors, such as blood lipid, blood glucose, obesity, blood pressure and drinking. Methods The levels of total cholesterol （TC）, triglycerides （TG）, high density lipoprotein cholesterol （HDL-C）, low density lipoprotein cholesterol （LDL-C）, fast blood glucose （FBG） , body mass index （BMI） , blood pressure were measured and B-mode ultrasonography of liver was taken in 3 624 staffs of baise government office during health examination. Results 512 patients with fatty liver were found, the occurance rate was 14.13% , male 272 cases （ 13.2% ） , female 240 cases （ 15.34% ） , 404 cases of them were alcoholic （78.9%） ,207 cases with obesity （ 40.42% ）, 173 cases with hypertension （ 33.79% ）, 70 cases FBG were higher than 5.6 mol/L （ 13.67% ）, 225 cases with high TG（49.8% ）, 293 cases with high TC（57.2% ）, 369 cases with high LDL-C（72.1% ）, 232 cases with low HDL-C（45.31% ）. Conclusions The occurance of fatty liver increases as ageing. There is no significant difference between different sex. Alcoholism is the first risk of fatty liver in these groups; Obesity, high blood lipid, hypertension and disturbance of carbohydrate metabolism are the second risk factors.