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目的探讨非酒精性脂肪肝与肥胖、血脂异常、高血糖的相关性。方法对参加北京市通州区新华医院免费健康体检的266名无社会养老保障人员测量身高、体重,行血脂、空腹血糖、肝功能、腹部B超、心电图等检查,并记录检查资料,进行脂肪肝组和非脂肪肝组的对比分析。结果体重指数(BMI)≥28者非酒精性脂肪肝检出率为63.54%,BMI<28者非酒精性脂肪肝检出率为23.53%,肥胖患者脂肪肝检出率明显高于非肥胖者(P<0.01)。脂肪肝组的总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、空腹血糖水平与非脂肪肝组比较,差异有统计学意义(P<0.01)。结论肥胖、血脂异常、高血糖的发生、发展与脂肪肝直接相关。
Objective To investigate the correlation between non-alcoholic fatty liver and obesity, dyslipidemia and hyperglycemia. Methods Totally 266 non-social pensioners who participated in the free health examination of Xinhua Hospital in Tongzhou District of Beijing were surveyed for height, weight, blood fat, fasting blood glucose, liver function, abdominal B-ultrasonography and electrocardiogram, Comparison of non-fatty liver group and non-fatty liver group. Results The detection rate of non-alcoholic fatty liver was 63.54% with body mass index (BMI) ≥28 and 23.53% with BMI <28, and the detection rate of fatty liver in obese patients was significantly higher than that of non-obese (P <0.01). The levels of total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol and fasting blood glucose in fatty liver group were significantly different from those in non-steatohepatitis group (P <0.01). Conclusion Obesity, dyslipidemia, the occurrence and development of hyperglycemia are directly related to fatty liver.