【摘要】：目的通過了解蕪湖市城市社區(qū)居民的脂肪肝的患病情況以及相關(guān)影響因素,為早期合理的預(yù)防控制提供理論依據(jù)。方法整群抽取蕪湖市某個(gè)社區(qū)的18歲以上常住居民作為研究對(duì)象,開展健康體檢和流行病學(xué)調(diào)查。結(jié)果共901例研究對(duì)象參與調(diào)查,脂肪肝檢出率為18.31%,其中男性檢出率(29.0%)高于女性(5.6%),差異具有統(tǒng)計(jì)學(xué)意義(x~2=82.24,P0.001);脂肪肝檢出率有隨年齡增高而增高的趨勢(shì)(x~2趨勢(shì)=24.44,P0.001),以50~歲年齡組檢出率最高(31.0%)。脂肪肝組血脂異常率(57.3%)高于非脂肪肝組(11.8%),差異具有統(tǒng)計(jì)學(xué)意義(x~2=163.46,P0.001)。Logistic回歸結(jié)果顯示:性別(OR=2.475,95%CI:1.344~4.545)、年齡(OR=1.030,95%CI:1.008~1.053)、體質(zhì)指數(shù)(OR=1.584,95%CI:1.434~1.750)、總膽固醇水平(OR=2.134,95%CI:1.340~3.398)、高密度脂蛋白膽固醇水平(OR=0.064,95%CI:0.020~0.199)是脂肪肝發(fā)生的影響因素。結(jié)論蕪湖市社區(qū)居民脂肪肝患病情況不容樂觀,應(yīng)予以重視并針對(duì)其危險(xiǎn)因素開展健康教育和重點(diǎn)防控。
[Abstract]:Objective to investigate the prevalence of fatty liver in urban community residents of Wuhu city and its related influencing factors so as to provide theoretical basis for early and reasonable prevention and control. Methods the residents over 18 years old in a community in Wuhu city were selected by cluster sampling to carry out health examination and epidemiological investigation. Results 901 subjects participated in the investigation. The detection rate of fatty liver was 18.31, in which the detection rate of male (29.0%) was higher than that of female (5.6%), the difference was statistically significant (xA22 / 82.24 / P0.001), and the detection rate of fatty liver was increasing with the increase of age (x2 trend: 24.44 / P0.001), the highest rate was in the age group of 50 ~ (th) years (31.0%). 鑴傝偑鑲濈粍琛，

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