【摘要】目的掌握中老年人脂肪肝患病状况。方法对2229名中老年人进行体格检查，通过询问病史，测量身高、体重、血压、血脂、血糖及B超等检查，研究脂肪肝的患病状况。结果脂肪肝患病率为12.9%，性别、年龄对脂肪肝患病率无明显影响。仅15.6%脂肪肝患者有消化道症状，肝功能异常者占25.3%。脂肪肝患者多合并有高甘油三酯、高胆固醇、高血压、糖尿病及糖耐量异常、高尿酸血症。肥胖、高甘油三酯、高胆固醇、高血压、糖尿病及糖耐量异常、高尿酸血症均为脂肪肝的危险因素。结论中老年人脂肪肝患病率高，必须加强脂肪肝的监测与防治，降低其患病率。

    关键词;中老年人脂肪肝患病率

    Prevalence of fatty liver in the middle-aged and old people

    Qiu Huichang,Gu Jinlian,Jiang Yesheng

    Department of Geriatrics,First People’s Hospital of Guangzhou,Guangzhou 510180.

    【Abstract】ObjectiveTo investigate the prevalence of fatty liver in the middle-aged and old people.MethodsWe studied 2229 people (over 40 years) by health examination including history,body height,body weight,blood lipid,blood sugar and B ultrasound checking,etc.ResultsThe prevalence of fatty liver was 12.9%,which gender and age had no significant influencement on.Only 21% fatty liver patients had digestive tract symptoms.Fatty liver often combined with hypertriglyceridemia,hypertension,diabetes mellitus and hyperuricemia,those and fat all were risk factors.ConclusionMiddle-aged and old people have high prevalence of fatty liver.It is necessary to strengthen prevention on fatty liver so as to decrease its prevalence. ......