本文選題：門診 + 通遼地區(qū)��； 參考：《內(nèi)蒙古民族大學(xué)》2017年碩士論文

【摘要】：目的:通過本項研究為脂肪肝針對性預(yù)防和治療措施提供科學(xué)依據(jù)及為蒙醫(yī)學(xué)上存在脂肪肝之病名、治療方法、治療藥物等方面模糊的問題提供基礎(chǔ)資料,尤其對蒙醫(yī)治療研究提供有意義的研究資料。方法:對內(nèi)蒙古民族大學(xué)附屬醫(yī)院蒙醫(yī)消化內(nèi)科門診患者及各門診CT檢查通遼地區(qū)人群中隨機抽取脂肪肝組、非脂肪肝組進(jìn)行1.流行病學(xué)問卷調(diào)查2.人體學(xué)指標(biāo)3.輔助檢查,建立數(shù)據(jù)庫,進(jìn)行應(yīng)用SPSS17.0統(tǒng)計軟件分析,兩組之間采用x2檢驗,采用多因素非條件性logistic回歸分析。結(jié)果:2015年7月至2016年10月調(diào)查人數(shù)共為14603名,其中彩超診斷9581名,CT檢查5022名。脂肪肝組900名,男性487名,女性413名,非脂肪肝組901名,男性487名,女性414名。兩組對比結(jié)果:男性檢出率為50%,女性檢出率為49.9%,(X2=4.739,P0.05),≤35歲檢出率為44.27%,35歲檢出率為50.65%,(X2=2.789,P0.05)�！�60歲檢出率為49.38%,60歲檢出率為51.93%,(X2=0.913,P0.05)。蒙古族檢出率50.13%,漢族檢出率49.29%,(X2=0.640,P0.05)。干部檢出率46.17%,農(nóng)民檢出率52.14%,退休人員檢出率51.29%,(X2=7.079,P0.05)。庫倫旗檢出率15.7%,科左中旗檢出率29.5%,科左后旗檢出率15.9%,通遼市檢出率7.8%,開魯縣檢出率8.7%,奈曼旗檢出率8.6%,扎魯特旗檢出率10.9%,科爾沁區(qū)檢出率2.9%,(X2=7.456,P0.05)。實驗室檢驗:ALT、GGT、AST、TBIL、DBIL、TCHO、TG、LDL-C、血糖(P0.05)。生活習(xí)慣:飲酒(X2=48.955,P0.05)、吸煙:不吸煙檢出率44.04%,1-10支/日檢出率63.8%,11支/日檢出率68.7%,(X2=70.265,P0.05)、偏油(X2=677.285,P0.05)、偏蔬菜(X2=0.49,P0.05)、偏水果(X2=0.376,P0.05)、偏咸(X2=763.541,P0.05)、運動:經(jīng)常運動或重體力勞動檢出率28.46%,運動缺乏或輕體力勞動檢出率61.05%(X2=186.933,P0.05)。兩組對比結(jié)果:腰圍(P0.05)BMI(P0.05)。多因素非條件性logistic回歸分析:下肢浮腫、食欲減退、易出汗、臉面部出油、消化不良、乏力、肥胖、GGT、TG、LDL-C、偏油、偏咸、BMI、運動、環(huán)境等因素進(jìn)入回歸方程,表明是脂肪肝的獨立危險因素,OR分別為釹28995.125、29.827、19039.044、826.609、2624.177、1689.614、2236.323、1.020、11.714、79.379、6807.615、903.067、5.122、0.095、0.000釺彩超或CT診斷:輕度、中度、重度脂肪肝百分比分別27.6%、0.3%、0.23%或21.8%、0.0%、0.07%。脂肪肝合并膽囊壁毛糙或膽囊壁增厚(膽囊炎)檢出率40%�？偨Y(jié):脂肪肝組與非脂肪肝組對比結(jié)果示不同性別、年齡、職業(yè)、地區(qū)、民族的脂肪肝檢出率差異無統(tǒng)計學(xué)意義,脂肪肝組實驗室檢驗中ALT、GGT、AST、TBIL、DBIL、TCHO、TG、LDL-C、血糖值高于非脂肪肝組,生活習(xí)慣方面飲酒、吸煙、偏油、偏咸、運動與脂肪肝關(guān)系密切,腰圍、BMI值與脂肪肝直接關(guān)系,多因素分析下肢浮腫、食欲減退、易出汗、臉面部出油、消化不良、乏力、肥胖、GGT、TG、LDL-C、偏油、偏咸、BMI、運動、氣候(環(huán)境)等因素是脂肪肝的獨立危險因素。彩超或CT診斷結(jié)果:輕度脂肪肝占比例高,脂肪肝合并膽囊壁毛糙或膽囊壁增厚檢出率高,說明10名脂肪肝中4名合并膽囊炎。研究結(jié)果表明上述獨立危險因素和蒙醫(yī)學(xué)“精華不消化病”病因契合。
[Abstract]:Objective: to provide a scientific basis for the prevention and treatment of fatty liver and to provide basic information for the fuzzy problems in Mongolian medicine, such as fatty liver disease, treatment and medicine, especially for the research of Mongolian medical treatment. Method: The Affiliated Hospital of Inner Mongolia University for the Nationalities. The fatty liver group was randomly selected from the outpatient department of the digestive department of the digestive department of the Mongolian medicine and the outpatient CT in the Tongliao area. The non fatty liver group was investigated with 1. epidemiological questionnaires and 2. anthropologic indexes 3. auxiliary examination, the database was established, the SPSS17.0 statistical software was applied to the analysis, the two groups were used x2 test, and the multiple factor non conditional logistic regression was used. Results: from July 2015 to October 2016, a total of 14603 people were surveyed, of which 9581 were diagnosed by color Doppler ultrasound, 5022 were examined by CT, 900 in the fatty liver group, 487 in the male, 413 in the female, 901 in the non fatty liver group, 487 in the male and 414 in the female. The results of two groups: the male detection rate was 50%, the female detection rate was 49.9%, (X2=4.739, P0.05), and was less than 35 years. The rate of 44.27% and 35 years old was 50.65%, (X2=2.789, P0.05). The detection rate of 60 years old was 49.38%, the detection rate of 60 years old was 51.93%, (X2=0.913, P0.05). The Mongolian detection rate was 50.13%, the Han detection rate was 49.29%, (X2=0.640, P0.05). The detection rate of cadres was 46.17%, the detection rate of farmers was 52.14%, and the detection rate of retirees (X2=7.079, P0.05). The detection rate of Kulun flag was 15.7%, The detection rate of Ko Zuo Zhongqi was 29.5%, the detection rate of left behind flag was 15.9%, the detection rate of Tongliao city was 7.8%, the detection rate of Kailu County was 8.7%, the detection rate of Naiman Banner was 8.6%, the detection rate of khorat flag was 10.9%, the detection rate of khorqin district was 2.9%, (X2=7.456, P0.05). Laboratory test: ALT, GGT, AST, TBIL, DBIL, TCHO, TG, LDL-C, blood sugar (P0.05). Drinking (X2=48.955, P0.05). Smoke detection rate was 44.04%, 1-10 / day detection rate was 63.8%, 11 / day detection rate was 68.7%, (X2=70.265, P0.05), partial oil (X2=677.285, P0.05), partial vegetables (X2=0.49, P0.05), partial fruit (X2=0.376, P0.05), salty (X2=763.541, P0.05), exercise: regular exercise or heavy manual labor detection rate 28.46%, exercise deficiency or light physical labor detection rate 61.05% (X2) =186.933, P0.05). The two groups of comparison results: the waist circumference (P0.05) BMI (P0.05). Multiple factor non conditional logistic regression analysis: lower extremity edema, anorexia, perspiration, face and face oil, indigestion, fatigue, obesity, GGT, TG, LDL-C, oil, salt, BMI, exercise, environment and other factors into the regression equation, indicating the independent risk factor of fatty liver, OR score points. Do not diagnose neodymium 28995.125,29.82719039.044826.6092624.1771689.6142236.323,1.020,11.714,79.3796807.615903.067,5.122,0.095,0.000 color Doppler ultrasound or CT: mild, moderate, and severe fatty liver percentage 27.6%, 0.3%, 0.23% or 21.8%, 0%, 0.07%. fatty liver with gallbladder wall rough or gallbladder wall thickening (cholecystitis) detection rate 40%. Conclusion: the comparison between the fatty liver group and the non fatty liver group showed that there was no significant difference in the detection rate of fatty liver in different sex, age, occupation, area and ethnic group. In the laboratory test of fatty liver, ALT, GGT, AST, TBIL, DBIL, TCHO, TG, LDL-C were higher than those of non fat liver, drinking, smoking, partial oil, salty, exercise and fatty liver. Closely related, waist circumference, BMI value and fatty liver direct relationship, multiple factors analysis of lower extremity edema, anorexia, perspiration, face and face oil, dyspepsia, fatigue, obesity, GGT, TG, LDL-C, oil, BMI, exercise, climate (environment) and other factors are independent risk factors of fatty liver. Color Doppler or CT diagnosis results: mild fatty liver accounts for a high proportion, fat, fatty liver, fat The detection rate of the liver with the gallbladder wall or the thickening of the gallbladder wall was high, indicating that 4 of the 10 fatty liver were associated with cholecystitis. The results showed that the above independent risk factors were associated with the cause of the "essential indigestion" of the Mongolian medicine.
【學(xué)位授予單位】：內(nèi)蒙古民族大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R575.5
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本文編號：2025813