摘要
目的分析农村居民脂肪肝的患病情况,探讨其影响因素,为针对农村居民脂肪肝的防治提供科学依据。方法选取2015年某卫生院健康体检的1 728例农村居民,经B超明确诊断为脂肪肝患者479例,分析不同特征居民脂肪肝的患病情况,并应用单因素和多元Logistic回归模型方法探讨农村居民脂肪肝患病的影响因素。结果所调查农村居民总脂肪肝患病率为27.7%,其中男27.1%,女28.4%。多因素Logistic回归分析表明,年龄、高血压、糖尿病、体重指数(BMI)、空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)是农村居民脂肪肝患病的危险因素(P<0.05),高密度脂蛋白胆固醇(HDL-C)为其保护因素,即HDL-C越高,脂肪肝的患病危险性越低(P<0.05)。结论农村居民脂肪肝的患病率较高,年龄、高血压、糖尿病、BMI及高脂血症与脂肪肝的患病密切相关。
Objective To analyze the prevalence of fatty liver in rural residents and investigate its influencing factors,and to provide the basis of prevention and treatment for fatty liver.Methods During 2015,1728 rural residents were chosen from a health examination,in which 479 fatty liver cases were diagnosed by type-B ultrasonic test,the prevalence of fatty liver among residents with different characteristics were analyzed,and the influence factors of fatty liver disease were explored by single factor analysis and logistic regression model.Results The total prevalence rate of fatty liver in rural residents was 27.7%,among which 27.1% were male and 28.4% were female.Multivariate logistic regression analysis showed that age,hypertension,diabetes,body mass index(BMI),fasting blood glucose(FPG),total cholesterol(TC),Triglyceride(TG)and low density lipoprotein cholesterol(LDL-C)were the risk factors of fatty liver among the rural residents(P<0.05),high density lipoprotein cholesterol(HDL-C)was the protective factor,that is,the higher the HDL-C,the lower the risk of fatty liver(P<0.05).Conclusions The prevalence rate of fatty liver in rural residents is high,and the age,hypertension,diabetes,BMI and hyperlipidemia are closely related to the prevalence of fatty liver disease.
引文
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