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脂肪肝相关因素临床分析
作者:丁晴 唐静 方芳 冯端浩 
单位:解放军第309医院 体检中心 北京 100193 
关键词:脂肪肝 影响因素 动脉硬化 
分类号:
出版年,卷(期):页码:2015,7(2):65-67
摘要:

摘要:目的 调查分析脂肪肝的相关因素。方法 对939名健康体检者进行血压,血糖,血脂及动脉硬化检测,并探讨各指标与脂肪肝的相关性。结果 单因素分析显示,脂肪肝与身高、性别、左侧脉搏波传导速度 (LbaPWV)、右侧脉搏波传导速度(RbaPWV)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL)、空腹血糖、收缩压和舒张压有关(P = 0.000)。经多因素回归分析,脂肪肝的危险因素依次为:TG(OR: 3.528)、血糖(OR: 2.910)、性别(OR: 2.141)、LbaPWV(OR: 1.771)。结论 脂肪肝的发生与血脂、血糖异常密切相关,而且与动脉硬化有一定的相关性,应加强人们(尤其是男性)对脂肪肝认知的健康教育,改善生活方式,从而预防脂肪肝以及动脉硬化的发生。

Abstract: Objective To investigate and analysis the factors that related to fatty liver. Methods Blood pressure, blood sugar, blood lipids and atherosclerosis detection were conducted on 939 health checkup people to explore the relationship between each index and fatty liver. Results The univariate analysis
showed that fatty liver significantly associated with height, sex, the left pulse wave velocity (LbaPWV), the right of pulse wave velocity (RbaPWV), total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL), fasting plasma glucose, systolic and diastolic blood pressure (P = 0.000). Multiple logistic regression analysis revealed that risk factors of fatty liver were: TG (OR:3.528), blood sugar (OR:2.910), gender (OR:2.141), LbaPWV(OR:1.771). Conclusions The occurrence of fatty liver is closely related to the abnormal blood lipid、blood sugar and it has certain correlation with atherosclerosis, health education about the awareness about fatty liver (especially men) should be strengthened, as well as improving lifestyle, to prevent the occurrence of fatty liver and atherosclerosis.

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