Diagnosis and risk factors analysis of fatty liver in physical examination population in Chibi city
赤壁市体检人群脂肪肝的诊断及其危险因素分析

摘要

目的 掌握赤壁市体检人群脂肪肝的发病情况及分布特征，探索脂肪肝发生发展的危险因素，为科学防控脂肪肝提供科学依据。方法 采用瞬时弹性成像技术方法诊断脂肪肝，检测指标包括体质指数、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇。问卷调查含饮食习惯、运动、吸烟、饮酒、既往用药史等。结果 研究对象1443人，筛查出脂肪肝903人，脂肪肝总患病率为62.58%，其中男性患病率为73.16%、女性为39.69%。脂肪肝单因素分析：性别、年龄、体重指数、甘油三酯、总胆固醇、低密度蛋白胆固醇、饮食油腻类食物、吸烟、饮酒、降糖药、降脂药与脂肪肝有统计学意义（P＜0.05），体重指数、甘油三酯的异常上升与脂肪肝的患病率有增加的趋势。脂肪肝多因素Logistic分析中：男性、年龄、体重指数升高、甘油三酯异常为脂肪肝的独立危险因数。结论 赤壁市体检人群中脂肪肝的患病率高，并随着年龄的增长增加的趋势；男性、年龄、肥胖、甘油三酯异常为脂肪肝的独立危险因数。在今后的脂肪肝防控工作中，加强健康教育和健康促进活动，提高居民健康意识，定期体检，做到早发现、早诊断、个性化治疗。

Abstract

Objective To understand the incidence and distribution characteristics of fatty liver among the physical examination population in Chibi City, explore the risk factors for the occurrence and development of fatty liver, and provide scientific basis for scientific prevention and control of fatty liver.
Methods Master the incidence and distribution characteristics of fatty liver among the physical examination population in Chibi City, explore the risk factors for the occurrence and development of fatty liver, and provide scientific basis for scientific prevention and control of fatty liver. Diagnosis of fatty liver using instantaneous elastic imaging technology, with detection indicators including body mass index, triglycerides, total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol. The questionnaire survey includes dietary habits, exercise, smoking, alcohol consumption, and past medication history.
Results Among the 1443 study subjects, 903 were screened for fatty liver disease, with a total prevalence rate of 62.58%, including 73.16% for males and 39.69% for females. Single factor analysis of fatty liver: Gender, age, body mass index, triglycerides, total cholesterol, low-density protein cholesterol, greasy diet, smoking, alcohol consumption, hypoglycemic drugs, and lipid-lowering drugs were statistically significant (P<0.05) with fatty liver. The abnormal increase in body mass index and triglycerides showed an increasing trend in the incidence of fatty liver. In the multivariate logistic analysis of fatty liver, male, age, increased body mass index, and abnormal triglycerides were independent risk factors for fatty liver.
Conclusion  s The prevalence of fatty liver is high among the physical examination population in Chibi City, and it tends to increase with age; Male, age, obesity, and abnormal triglycerides are independent risk factors for fatty liver disease. In the future prevention and control of fatty liver disease, we will strengthen health education and promotion activities, enhance residents' health awareness, conduct regular physical examinations, and achieve early detection, diagnosis, and personalized treatment.