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目的了解某高校教职工脂肪肝发病情况及其与代谢综合征的关系,以寻找有效的预防与治疗途径。方法对黑龙江某高校教职工1 254名进行健康体检,包括体格检查、血液生化检查、B超检查。结果脂肪肝患病率为18.6%,代谢综合征的患病率为25.9%;检出肥胖72人(5.7%),高血糖49人(3.9%),三酰甘油(TG)增高226人(18.0%),总胆固醇增高52人(4.1%),低密度脂蛋白胆固醇增高46人(3.7%),高密度脂蛋白胆固醇降低49人(3.9%),高血压76人(6.0%)。有234例脂肪肝患者存在1项或多项代谢紊乱,肥胖、高血糖、血脂紊乱、高血压等出现1项异常者203人(86.7%),2项异常者167人(71.4%),3项异常者68人(29.1%),肥胖、高血糖、血脂紊乱、高血压都具有者12例(5.1%)。脂肪肝在男性任何年龄段都有发生,女性41~50岁组最高。结论教职工脂肪肝和代谢综合征患病率偏高,脂肪肝与代谢综合征密切相关,应加强对高校教职工健康理念及生活习惯的干预,预防脂肪肝与代谢综合征的发生。
Objective To understand the incidence of fatty liver and its relationship with metabolic syndrome in a university faculty in order to find out an effective way of prevention and treatment. Methods A total of 1 254 teachers at a university in Heilongjiang were taken physical examination, blood biochemistry examination and B ultrasound examination. Results The prevalence of fatty liver was 18.6% and the prevalence of metabolic syndrome was 25.9%. 72 obese people (5.7%), 49 hyperglycemia (3.9%) and 226 triglyceride (TG) were detected 18.0%), total cholesterol increased by 52 (4.1%), low density lipoprotein cholesterol increased by 46 (3.7%), high density lipoprotein cholesterol decreased by 49 (3.9%) and high blood pressure by 76 (6.0%). There were 234 patients with fatty liver with one or more metabolic disorders, 203 (86.7%) with one abnormality such as obesity, hyperglycemia, dyslipidemia and hypertension, 167 (71.4%) with two abnormalities, and 3 There were 68 abnormalities (29.1%), obesity, hyperglycemia, dyslipidemia and hypertension were found in 12 patients (5.1%). Fatty liver occurs at any age in men and is highest in women aged 41 to 50 years. Conclusions The prevalence of fatty liver and metabolic syndrome is high in faculty. Fatty liver is closely related to metabolic syndrome. Intervention should be strengthened to prevent fatty liver and metabolic syndrome.