沈阳地区中青年脂肪肝与其腰臀比的相关性研究

摘要

目的 研究脂肪肝与腰臀比、肥胖、血糖、血脂等代谢相关因素的关系,为临床治疗提供参考.方法 对2010年7月至12月本院5827例18～50岁体检人员均行肝功能、肾功能、血脂、血糖常规检查及肝、胆、胰、脾等脏器的超声检查,比较脂肪肝患者与非脂肪肝患者腰臀比、肥胖、糖尿病、高脂血症的差异.结果 脂肪肝组腰臀比、血糖、血脂明显高于非脂肪肝组(t =24.6,13.2,21.9,19.6,10.3,P＜0.01).脂肪肝组中,男性脂肪肝检出率(44.3％)明显高于女性(31％),其差异有统计学意义(x2 =33.6,P＜0.01).结论 脂肪肝与腹型肥胖存在明显相关性,要重视脂肪肝的严重性,早期干预,以预防心血管事件及代谢综合征的发生.%Objective To study the relationships of fatty liver with the waist to hip ratio (WHR),obesity,blood glucose,blood lipid,so as to guide clinical treatment.Methods A total of 5827 persons who underwent the following examination,including liver function,kidney function,blood lipids,blood glucose,and ultrasound imaging examination were divided into fatty liver suffering group and non-fatty liver suffering group.Results The incidences of WHR,diabetes,hyperlipidemia,and hyperuricemia in the fatty liver suffering group were significantly higher than those in the non-fatty liver suffers group(t =24.6,13.2,21.9,19.6,10.3,P ＜ 0.01).The incidence (44.3％) of fatty liver in males was significantly higher than that (31％) in females (x2 =33.6,P ＜ 0.01).Conclusions There was obvious correction between fatty liver and abdominal obesity.Patients with fatty liver should be given early prevention in order to prevent from the occurrence of cardiovascular events and metabolic syndrome.