职业与健康 ›› 2025, Vol. 41 ›› Issue (4): 504-509.

• 论著 • 上一篇    下一篇

石油企业职工代谢相关脂肪性肝病患病情况及影响因素分析

乔万通1, 李倩2, 陈璐1, 俞永贇1, 范旻2   

  1. 1.新疆医科大学公共卫生学院,新疆 乌鲁木齐 830000;
    2.新疆维吾尔自治区人民医院临床营养研究所,新疆 乌鲁木齐 830000
  • 收稿日期:2024-07-29 修回日期:2024-08-05 出版日期:2025-02-15 发布日期:2025-12-12
  • 通信作者: 范旻,主任医师,E-mail:13565800069@163.com
  • 作者简介:乔万通,男,在读硕士研究生,研究方向为疾病预防与控制。
  • 基金资助:
    新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY-202324)

Analysis on prevalence and influencing factors of metabolism-related fatty liver disease among petroleum workers

QIAO Wantong1, LI Qian2, CHEN Lu1, YU Yongyun1, FAN Min2   

  1. 1. School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830000,China;
    2. Institute of Clinical Nutrition,Xinjiang Uygur Autonomous Region People's Hospital,Urumqi,Xinjiang 830000,China
  • Received:2024-07-29 Revised:2024-08-05 Online:2025-02-15 Published:2025-12-12
  • Contact: FAN Min,Chief physician,E-mail:13565800069@163.com

摘要: 目的 分析石油企业职工代谢相关脂肪性肝病患病情况及相关危险因素,为石油企业职工代谢相关脂肪性肝病防控提供依据。方法 选取2023年6—12月在昌吉州宝石花医院进行年度健康检查的新疆油田公司职工作为调查对象进行问卷调查及健康检查,运用χ2检验及logistic回归分析代谢相关脂肪性肝病的危险因素。结果 共纳入研究对象1 252人,其中男性884名,女性368名,代谢相关脂肪性肝病患病率为37.62%。多因素logistic回归分析结果显示,男性(OR=0.314)、工龄(10~<20年,OR=2.378;20~<30年,OR=3.944;≥30年,OR=3.670)、高温接触(OR=1.931)、体育锻炼(OR=1.605)、劳动强度(Ⅳ级劳动强度OR=4.924)、饮酒情况(现在饮酒:OR=1.475)、丙氨酸转氨酶异常(OR=2.683)、高密度脂蛋白异常(OR=2.871)、低密度脂蛋白异常(OR=1.319)、血红蛋白异常(OR=1.445)及尿酸异常(OR=1.804)均是代谢相关脂肪性肝病的影响因素(均P<0.05)。结论 新疆油田公司职工代谢相关脂肪性肝病的患病率较高,性别、工龄、高温接触、体育锻炼、工作劳动强度、饮酒情况、丙氨酸转氨酶异常、高密度脂蛋白异常、低密度脂蛋白异常、血红蛋白异常以及尿酸异常均是其影响因素。相关部门应加强代谢相关脂肪性肝病的健康管理工作。

关键词: 代谢相关脂肪性肝病, 患病率, 影响因素

Abstract: Objective To analyze the prevalence and related risk factors of metabolism-related fatty liver disease among oil workers,and to provide a basis for the prevention and control of metabolism-related fatty liver disease among oil workers. Methods Employees of Xinjiang Oilfield Company who underwent annual health examination at Jewel Flower Hospital in Changji Prefecture from June to December 2023 were selected as the survey subjects for questionnaire survey and health examination.The risk factors for metabolism-related fatty liver disease were analyzed using χ2 test and logistic regression. Results A total of 1 252 subjects were included in the study,including 884 males and 368 females,and the prevalence of metabolism-related fatty liver disease was 37.62%. The results of multifactorial logistic regression analysis showed that males(OR=0.314),length of service(10-<20 a:OR=2.378,20-<30 a,OR=3.944,≥30 a,OR=3.670),high temperature exposure(OR=1.931),physical exercise(OR=1.605),labor intensity(IV labor intensity OR=4.924),alcohol consumption(current alcohol consumption:OR=1.475),alanine aminotransferase abnormality(OR=2.683),high-density lipoprotein abnormality(OR=2.871),low-density lipoprotein abnormality(OR=1.319),hemoglobin abnormality(OR=1.445),and uric acid abnormality(OR=1.804) were all influencing factors of metabolism-related fatty liver disease(all P<0.05). Conclusion The prevalence of metabolic fatty liver disease among oil workers was high,and factors such as gender,length of service,exposure to high temperature,physical exercise,work intensity,alcohol consumption,alanine aminotransferase abnormality,high-density lipoprotein abnormality,low-density lipoprotein abnormality,hemoglobin abnormality,and uric acid abnormality were all influencing factors.Relevant departments should strengthen the health management ofmetabolism-related fatty liver disease.

Key words: Metabolism-related fatty liver disease, Prevalence, Influencing factors