论文部分内容阅读
目的了解西藏拉萨地区世居成年藏族居民酒精性肝病(ALD)患病现状及其影响因素,为采取相应的防控措施提供参考依据。方法于2009年6月—2010年8月采用分层随机抽样方法在西藏拉萨地区抽取的2 178名≥18岁世居藏族居民进行问卷调查、体格检查和腹部B超检查。结果西藏拉萨地区2 178名世居成年藏族居民中ALD患者106例,ALD患病率为4.87%;其中,酒精性肝炎、酒精性脂肪肝、酒精性肝硬化患者分别为67例、34例和5例,分别占ALD患者总数的63.21%、32.08%和4.72%,多因素非条件logistic回归分析结果显示,年龄≥41岁、文化程度初中及以上、居住在农村、吸烟和空腹饮酒是拉萨地区世居成年藏族居民ALD患病的危险因素,女性是拉萨地区世居成年藏族居民ALD患病的保护因素。结论西藏拉萨地区世居成年藏族居民ALD患病率较高,性别、年龄、文化程度、居住地、吸烟和空腹饮酒情况是该地区居民ALD患病的主要影响因素。
Objective To understand the prevalence and influencing factors of alcoholic liver disease (ALD) among resident adult Tibetans in Lhasa, Tibet, and to provide reference for taking corresponding prevention and control measures. Methods From June 2009 to August 2010, stratified random sampling method was used to conduct questionnaire survey, physical examination and abdominal ultrasonography in 2 178 Tibetan residents aged 18 and over in Lhasa, Tibet. Results There were 106 ALD patients among 2 178 adult Tibetan residents living in Lhasa, Tibet. The prevalence of ALD was 4.87%. Among them, alcoholic hepatitis, alcoholic fatty liver and alcoholic cirrhosis were 67 cases, 34 cases and 5 cases, accounting for 63.21%, 32.08% and 4.72% of the total number of patients with ALD respectively. Multivariate non-conditional logistic regression analysis showed that smoking and fasting alcohol drinking were the most common in Lhasa Living adult Tibetan residents risk factors for ALD, women are living Lhasa adult resident Tibetan ALD prevalence protective factors. Conclusion The prevalence of ALD among resident adult Tibetans in Lhasa, Tibet is higher than that in other regions. Sex, age, education level, place of residence, smoking and fasting alcohol consumption are the main influencing factors of ALD in this area.