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目的探讨哈萨克族成人脂肪肝的相关危险因素。方法调查经B超诊断的73例哈萨克族脂肪肝患者的身高、体重、腰围、饮酒程度、食肉程度、血压、空腹血糖和血脂等指标,并与80例健康体检的非脂肪肝哈萨克族人群作对照。结果脂肪肝患者伴发肥胖症者63例(86.3%)、糖耐量异常及糖尿病者36例(49.3%)、高血压病者39例(53.4%)和高脂血症者32例(43.8%),分别高于对照组的41.3%、12.5%、12.5%和18.6%(均P<0.05);脂肪肝患者在体重指数、饮酒程度、血压、空腹血糖和甘油三酯方面均高于对照组,差异有统计学意义(P<0.05~0.01);经Logistic回归分析显示,体重指数、饮酒、高脂饮食、甘油三酯和血糖水平成为脂肪肝的危险因素。结论哈萨克族脂肪肝发生的危险因素是饮酒、高脂饮食和肥胖。
Objective To explore the related risk factors of fatty liver in Kazakh. Methods Totally 73 Kazakh patients with fatty liver diagnosed by B-ultrasound were surveyed with 80 healthy controls, including height, weight, waist circumference, alcohol intake, carcass level, blood pressure, fasting blood glucose and blood lipids. Control. Results 63 (86.3%) patients with fatty liver accompanied by obesity, 36 (49.3%) with impaired glucose tolerance and diabetes, 39 (53.4%) with hypertension and 32 (43.8% ) Were higher than those in the control group (41.3%, 12.5%, 12.5% and 18.6% respectively) (all P <0.05). The body mass index, alcohol consumption, blood pressure, fasting blood glucose and triglyceride in patients with fatty liver were higher than those in the control group (P <0.05 ~ 0.01). Logistic regression analysis showed that body mass index, drinking, high fat diet, triglyceride and blood glucose level were the risk factors of fatty liver. Conclusion The risk factors of fatty liver in Kazakh are alcohol consumption, high-fat diet and obesity.