安徽某医学院高级职称体检人群脂肪肝及代谢综合征分析

目的：了解安徽某医学院副高级及以上职称教师代谢综合征（MS）和脂肪肝的患病情况及相关因素,并对脂肪肝与MS及其组分的相关性进行分析.方法：按照中华医学会关于MS和脂肪肝的诊断标准,对2010 ～2012年某医学院副高级及以上职称教师3年体检资料进行统计分析,观察体检人群中超重或肥胖、高血糖、高血压、MS的检出率及脂肪肝的患病率.结果：3年体检资料MS检出率分别为23.9％（27/113）、16.7％（19/114）和14.4％（16/111）,各年不同性别间检出率差异均无统计学意义（P ＞0.05）;MS相关因素检出率血脂紊乱最高,其次为高血压、超重或肥胖,高血糖检出率最低;脂肪肝3年患病率依次为27.4％、32.5％和35.1％,各年不同性别间检出率差异均无统计学意义（P＞0.05）;脂肪肝与超重或肥胖、高三酰甘油水平均呈正相关关系（P＜0.01）.结论：超重或肥胖、血脂紊乱及高血压是体检人群MS健康干预的重点;脂肪肝与MS及其组分具有相关性,超重或肥胖、高三酰甘油可能为体检人群脂肪肝的主要危险因素。

The analysis of fatty liver and metabolic syndrome of people with advanced academic title in a Anhui medical college

Objective：To explore the disease status and related factors of fatty liver and metabolic syndrome（MS） of people with advanced academic title in a Anhui medical college, and analyze their correlations. Methods：The physical examination data of people with advanced academic title in a Anhui medical college were statistically analyzed according to the diagnostic criteria recommended by the Chinese Medical Association from 2010 to 2012. The detection rates overweight of obesity, dyslipidema, high blood pressure and MS, the prevalences of fatty liver in the people were observed. Results： The detection rates of MS in three years were 23.9% （27/113）, 16.7% （19/114） and 14.4% （16/111）, respectively, and the differences of detection rates between different genders were not statistical significance （ P 〉 0.05 ）. The dyslipidemia was the highest related factor of MS, followed by high blood pressure, overweight or obesity,and high blood glucose was the lowest. The prevalences of fatty liver in three years were 27.4%, 32.5% and 35. 1%, respectively, and the differences of detection rates between different genders were not statistical significances （P 〉 0.05 ）. The fatty liver was positively correlated with triglyceride level and overweight or obesity（ P 〈 0.01 ）. Conclusions： Overweight or obesity,dyslipidemia and high blood pressure are the focus of intervention for people with MS. The related factors of MS and fatty liver are correlation. Overweight or obesity and hypertriglyceridemia may be the major risk factors of people with fatty liver.