学术论文

      影响肝功能检查结果的因素分析

      Analysis of influencing factors of the results of liver function tests

      摘要:
      目的:探讨影响肝功能检查结果的因素。方法分析行肝功能检查患者357例的临床资料,根据检查结果分为两组,对照组178例,肝功能正常;观察组179例,肝功能异常。分析肝功能检查结果的影响因素。结果观察组性别构成、婚姻状况、年龄分布、文化程度、体质量指数(BMI)、睡眠时间与对照组比较,除婚姻状况外差异均有统计学意义(均 P <0.05),男性肝功能异常检出率为58.66%,高于女性的41.34%(χ2=14.139,P <0.05);40岁以上人群肝功能异常检出率为55.87%,高于40岁以下人群的44.13%(χ2=8.495,P <0.05);高中及以上文化程度人群肝功能异常检出率为45.25%,低于高中以下人群的54.75%(χ2=5.685,P <0.05);BMI≥24 kg/m2人群肝功能异常检出率为62.57%,高于 BMI <24 kg/m2人群的37.43%(χ2=5.731,P <0.05);睡眠时间≥8 h 人群肝功能异常检出率为53.07%,低于睡眠时间<8 h 人群的46.93%(χ2=18.011,P <0.05)。两组婚姻状况与肝功能异常检出率差异无统计学意义(P >0.05)。结论性别、年龄、文化程度、BMI、睡眠时间均会对肝功能检查结果产生影响,应合理纠正不良的饮食、生活习惯,加强体育锻炼,不断提高生活质量。
      Abstract:
      Objective To investigate the influencing factors of the results of liver function tests.Methods The clinical data of 357 cases of outpatient examination for liver function were retrospectively analyzed.According to the results of the examination,they were divided into two groups,178 cases in the control group (normal liver func-tion);179 cases in observation group (abnormal liver function).The influencing factors of liver function test results were analyzed.Results In the observation group,the gender,marital status,age,culture degree,BMI,sleep time com-pared with the control group,the differences in marital status were statistically significant(all P <0.05),the liver function abnormal rate of male was 58.66%,which was higher than 41.34% of female(χ2 =14.139,P <0.05).The detection rate of abnormal liver function of the people with age over 40 years old was 55.87%,which was higher than 44.13% of the people with age under 40 years old (χ2 =8.495,P <0.05).The detection rate of abnormal liver func-tion of the crowd in high school level and above was 45.25%,which was lower than 54.75% of the crowd under the high school(χ2 =5.685,P <0.05).The detection rate of abnormal liver function of the crowd with BMI≥24kg/m2 was 62.57%,which was higher than 37.43% of the crowd with BMI <24kg/m2 (χ2 =5.731,P <0.05).The detec-tion rate of abnormal liver function of the crowd with sleep time≥8h was 53.07%,which was lower than 46.93% of the crowd with sleep time <8h (χ2 =18.011,P <0.05).There was no significant difference in the detection rate of abnormal liver function of marriage between the two group(P >0.05).Conclusion The gender,age,culture degree, BMI,sleep time have impact on the liver function test,and the bad eating and living habits should be reasonable corrected,the physical exercise should be strengthened,and the quality of life should be constantly improved.
      作者: 靳玉凤 [1] 董杰 [1] 王立 [1] 罗英 [2] 萧间开 [2]
      Author: Jin Yufeng [1] Dong Jie [1] Wang Li [1] Luo Ying [2] Xiao Jiankai [2]
      作者单位: 广州市第十二人民医院检验科, 广东省广州,510620 广州市第十二人民医院消化内科, 广东省广州,510620
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日
      基金项目: 广东省科技计划项目(2012B061200005)Fund programScience and Technology planning project of Guangdong province