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目的了解河南三门峡市企业退休职工脂肪肝患病及其相关因素。方法采用普查方法对32家企业退休职工进行体检。结果体检7 459名,脂肪肝患病率34.31%,其中男性患病率28.93%,女性37.12%,女性明显高于男性(P<0.05)。超重、肥胖、糖尿病人群脂肪肝患病率明显高于正常对照(P<0.05)。轻、中、重度脂肪肝人群,随着脂肪肝程度的加重,患者的血糖、血清丙氨酸氨基转移酶、甘油三酯、总胆固醇水平逐渐升高,差异有统计学意义(P<0.05)。结论河南三门峡市企业退休职工脂肪肝患病率较高,女性、超重、肥胖、糖尿病人群更易患脂肪肝,应针对易患人群开展有效的三级预防。
Objective To understand the prevalence and related factors of fatty liver in retired workers in enterprises in Sanmenxia, Henan Province. Methods The census method was used to examine the retired workers in 32 enterprises. Results A total of 7 459 people were examined. The prevalence of fatty liver was 34.31%. The prevalence rate of male was 28.93% and female was 37.12%. The female was significantly higher than that of male (P <0.05). The prevalence of fatty liver in overweight, obesity and diabetic patients was significantly higher than that in normal controls (P <0.05). The levels of blood glucose, serum alanine aminotransferase, triglyceride and total cholesterol in patients with mild, moderate and severe fatty liver increased with the severity of fatty liver, the difference was statistically significant (P <0.05) . Conclusions The prevalence of fatty liver in retired workers in enterprises in Sanmenxia, Henan Province is high. Female, overweight, obese and diabetic patients are more susceptible to fatty liver. Effective tertiary prevention should be carried out in susceptible populations.