本文選題：脂肪肝　切入點(diǎn)：性別　出處：《中國老年學(xué)雜志》2017年14期 　論文類型：期刊論文

【摘要】：目的調(diào)查老年住院患者脂肪肝的發(fā)病情況及相關(guān)危險(xiǎn)因素。方法 819例≥60歲的老年住院患者均行腹部超聲檢查,個(gè)人資料包括年齡、性別、文化程度、家族病史、現(xiàn)病史(糖尿病、高血壓、高脂血癥、肥胖、冠心病等)、飲酒史和人體學(xué)指標(biāo)包括身高、體重、腰圍、血壓、體重指數(shù)(BMI)及生活行為危險(xiǎn)因素包括膳食結(jié)構(gòu)、體力活動(dòng)及鍛煉情況、睡眠狀況。腹部超聲診斷為脂肪肝者納入脂肪肝組,余納入非脂肪肝組,對(duì)比分析兩組的個(gè)人資料、人體學(xué)指標(biāo)及生活行為危險(xiǎn)因素等。結(jié)果檢出脂肪肝351例,總檢出率42.85%,其中男229例(65.24%),女122例(34.76%),60~69歲有209例(59.54%),70~79歲有119例(33.90%),≥80歲23例(6.56%)。脂肪肝與高血壓、高脂血癥、肥胖、冠心病、糖尿病存在相關(guān)性(P0.05),長期飲酒史比較兩組有統(tǒng)計(jì)學(xué)差異(P0.05)。脂肪肝組中BMI超標(biāo)占全部脂肪肝患者的48.08%;脂肪肝組腰臀比(WHR)超標(biāo)有216例(61.54%)均高于非脂肪肝組(P0.05)。肉食為主和偶爾進(jìn)食早餐或者不進(jìn)食早餐在兩組比較脂肪肝組明顯高于非脂肪肝組(P0.05)。睡眠障礙在脂肪肝組睡眠差的患者明顯多于非脂肪肝組(P0.05),非脂肪肝組的患者每周運(yùn)動(dòng)次數(shù)和運(yùn)動(dòng)時(shí)間均多于脂肪肝組(P0.05)。結(jié)論老年住院患者脂肪肝檢出率為42.85%,男女比例為1.47∶1;60~70歲年齡段檢出率最高。大多數(shù)脂肪肝患者分別或者同時(shí)罹患高血壓、高脂血癥、肥胖、冠心病、糖尿病。BMI和WHR均和脂肪肝發(fā)生相關(guān),但WHR似乎更優(yōu)于BMI。飲食結(jié)構(gòu)肉食為主、偶爾吃(3 d/w)早餐、睡眠狀況或睡眠障礙和運(yùn)動(dòng)少會(huì)促進(jìn)脂肪肝的發(fā)生。
[Abstract]:Objective to investigate the incidence and risk factors of fatty liver in elderly inpatients. Methods 819 inpatients aged more than 60 years were examined by abdominal ultrasound, and their personal data included age, sex, education, family history. Current history (diabetes, hypertension, hyperlipidemia, obesity, coronary heart disease, etc.), alcohol consumption history and anthropometric indicators include height, weight, waist circumference, blood pressure, body mass index (BMI), and life behavior risk factors including dietary structure, Physical activity and exercise, sleep status, abdominal ultrasound diagnosis of fatty liver into the fatty liver group, the rest into the non-fatty liver group, comparative analysis of the two groups of personal data, Results 351 cases of fatty liver were detected, and the total detection rate was 42.85. Among them, 229 cases were male, 65.24m, and 122 cases were female, there were 209 cases of fatty liver and hypertension, obesity, coronary heart disease, coronary heart disease. There were 209 cases of fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, there were 119 cases of fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, 119 cases were over 80 years old, 23 cases were 6.56jian.Fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease, coronary heart disease, fatty liver and hypertension, hyperlipidemia, obesity, coronary heart disease. There was a correlation between diabetes mellitus (P 0.05) and long-term drinking history (P 0.05). In fatty liver group, BMI exceeded the standard in 48.08% of all fatty liver patients, and the waist-hip ratio in fatty liver group was higher than that in non-fatty liver group in 216 cases (61.54%). Meat was predominant in fatty liver group. Compared with the occasional breakfast or non-eating breakfast group, fatty liver group was significantly higher than non-fatty liver group (P 0.05). The patients with sleep disorder in fatty liver group were significantly more than non-fatty liver group (P 0.05), and non-fatty liver group had weekly exercise. Conclusion the detection rate of fatty liver in elderly inpatients is 42.85, and the ratio of male to female is 1.47: 16070 years old. Most of the patients with fatty liver develop hypertension separately or at the same time. Hyperlipidemia, obesity, coronary heart disease, diabetes. BMI and WHR were all associated with fatty liver disease, but WHR seemed to be better than BMI.Diet structure meat was predominant, occasionally eating 3 d / w breakfast, sleep status or sleep disorder and less exercise could promote the occurrence of fatty liver.
【作者單位】： 成都市慢性病醫(yī)院五病區(qū);成都市第六人民醫(yī)院消化科;
【分類號(hào)】：R575.5

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本文編號(hào)：1595765