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[目的]掌握机车乘务员脂肪肝患病情况,分析其危险因素,为保障铁路职工的身体健康提供理论依据。[方法]对2008年5~9月参加职业健康体检的郑州铁路局机车男性乘务员体检资料进行分析。[结果]调查1 280人,B超检出脂肪肝342例,占26.71%。多因素非条件Logstic回归分析结果,腰围、总胆固醇、甘油三酯、体重指数、空腹血糖、高血压与脂肪肝患病密切相关。[结论]机车乘务员脂肪肝患病率较高,腰围大、总胆固醇高、甘油三酯高、体重指数大、空腹血糖高、高血压者易患脂肪肝。
[Objective] To master the situation of locomotive steamers’ fatty liver, analyze the risk factors and provide theoretical basis for protecting the health of railway workers. [Method] The physical examination data of male attendant locomotive in Zhengzhou Railway Bureau from May to September in 2008 were analyzed. [Results] A total of 1 280 people were surveyed. 342 cases of fatty liver were detected by B-ultrasound, accounting for 26.71%. Multivariate Logistic regression analysis showed that waist circumference, total cholesterol, triglyceride, body mass index, fasting blood glucose and hypertension were closely related to fatty liver disease. [Conclusion] The locomotive stewards had a higher prevalence of fatty liver, larger waist circumference, higher total cholesterol, higher triglycerides, higher body mass index, higher fasting blood glucose and higher risk of fatty liver.