高校教职工脂肪肝患病情况及其相关因素

目的了解高校教职工脂肪肝患病情况及其相关因素，为预防和治疗脂肪肝提供依据。方法问卷调查某高校教职工性别、年龄、病史、饮食和行为习惯等，测量身高、体重、血压，同时进行腹部B超、血糖、血脂的检查。结果1348名高校教职工中，脂肪肝患病率为16．69％，男性（19．67％）高于女性（13．09％），差别有统计学意义（χ^2=10．40，P〈0．01），45～64岁男性患病率高于女性（P〈0．05），女性随年龄增长患病率有增高的趋势。经多因素Logistic回归分析，脂肪肝的患病率与体质指数（χ^2=13．471，OR=I．841，95％CI：1．232～2．748）、糖尿病（χ^2=8．326，OR=I．622，95％CI：1．050～2．504）、高脂血症（X2=26．312，OR=3．161，95％cf：2．101—4．754）、高血压（χ^2=11．392，OR=I．748，95％CI：1．171—2．611）、饮酒（χ^2=14．574，OR=I．867，95％CI：1．251～2．789）等因素密切相关。结论高校教职工脂肪肝患病率较高，应针对肥胖、糖尿病、高脂血症、高血压、饮酒等危险因素加强预防和治疗。

Investigation on Prevalence and Associated Factors of Fatty Liver among College Staffs of Qingdao

Objective To investigate the prevalence and its related factor of fatty liver among the college staffs. Methods 1 348 college staffs were investigated on their medical history, gender, age, food and behavior habit, and examined on their body height, body weight and blood pressure, while detected on the liver function, blood sugar and blood lipids, and diagnosed by the result of B ultrasound test. Results The prevalence rate of fatty liver in college staffs was 16.69%, which higher in male than in female （χ^2=10.40, P〈0.01）, higher in 35-55 yrs male group than in other groups, and female prevalence had increasing tendency with the age. The prevalence of fatty liver was closely related with weight index （χ^2=13.471, OR=1.841, 95%CI： 1.232～2.748）, diabetes （χ^2=8.326, OR=1.622, 95%C1： 1.050-2.504）, hyperlipidemia （χ^2=26.312, OR=3.161, 95%CI： 2.101N4.754）, hypertension （χ^2=11.392, OR=1.748, 95%CI： 1.171-2.611） and alcohol drinking （χ^2=14.574, OR=1.867, 95%CI： 1.251N2.789）. Conclusion It is high prevalence of fatty liver among the college staffs. The higher prevalence of fatty liver is associated with gender, age, alcohol drinking, overweight, and hyperlipidemia, etc. It is very necessary to reinforce preventive measures on these dangerous factors.