内科

目的了解广西机关干部脂肪肝患病情况及与血脂、血糖、血压、体重指数的关系，为控制和预防心脑血管疾病提供理论依据。方法对广西58家机关事业单位2 337名（男1 395人，女942人）23～89岁干部职工和离退休人员测量身高、体重、血压、心电图、B超、血尿酸、血脂、血糖。根据测量结果将研究对象分为脂肪肝组（957例）和非脂肪肝组（1 380例），分别进行统计比较。结果（1）检出脂肪肝957例，占调查人数40.9%。脂肪肝组中男性（66.0%）多于女性（34.0%）；（2）脂肪肝组血尿酸、总胆固醇、甘油三酯、空腹血糖和体重指数高于非脂肪肝组（P＜0.05）；（3）脂肪肝合并高血压患病人数明显高于非脂肪肝组（P＜0.05）；（4）脂肪肝组体重指数（BMI）≥24 kg/m2 782人，占81.7%，明显高于非脂肪肝组（P＜0.05）。结论脂肪肝检出率较高，脂肪肝患者多伴有高血脂、高血压、高血糖和高尿酸。

ObjectiveTo observe the prevalence of fatty liver in government functionary of GuangXi,and explore the relationships between fatty liver and blood lipid,glucose,pressure and body mass index(BMI).MethodsA population of 2337(1395 males,942 females;age from 23-89) of 58 government units were recruited,then their height,weight,blood pressure,electrocardiogram,B ultrasound,serum uric acid,blood lipid and glucose were measured.All cases were divided into two groups named as fatty liver group(957cases) and non-fatty liver group(1380cases) according to the results of measurement.Results(1)957 cases of fatty liver were found,taking up 40.9% of the total.There are more males(66.0%) then females(34.0%) in the fatty liver group;(2)The concentration of blood Uric acid,total cholesterol,triacylglyceride,fasting blood-glucose and BMI of fatty liver group are higher then non-fatty liver group(P＜0.05);(3)The cases of fatty liver accompanied with hypertension are more then non-fatty liver group (P＜0.05); (4)There are 782 cases,81.7% of the fatty liver group,whose BMI≥24kg/m2,obviously higher then the non-fatty group(P＜0.05).ConclusionThe relevance ratio of fatty liver is comparatively high,fatty liver is almost accompany with high lipid,hypertension,hyperglycemia and uricemia.