衡水市职工肝胆B超结果分析

发布时间：2018-06-20 15:33

本文选题：肝胆B超 + 常见疾病　；参考：《现代预防医学》2015年18期

【摘要】：目的了解衡水市职工肝胆系统常见疾病的患病情况及其原因。方法选择2013年在某医院体检科参加健康体检的衡水市职工24 579例,对其肝胆系统B超结果进行分析。结果 (1)衡水市职工肝胆系统常见疾病排在前5位的,从高到低依次为:脂肪肝32.67%、胆囊炎8.19%、肝囊肿6.35%、胆囊息肉3.29%、胆囊结石2.43%。(2)脂肪肝、胆囊炎、肝囊肿的男女检出率分别为41.24%、21.71%;9.34%、6.71%;6.95%、5.58%,男性均明显高于女性,差异有统计学意义(P0.05);而胆囊息肉、胆囊结石男女检出率无统计学差异(P0.05)。(3)胆囊炎、肝囊肿、胆囊结石的检出率随年龄增长而增长(趋势χ2分别为97.896、497.040、210.748,P0.05),脂肪肝、胆囊息肉呈现先增高后降低的趋势(趋势χ2分别为93.423、4.199,P0.05)。脂肪肝以51~60岁之间检出率最高,达39.24%,60岁以上检出率反而降低;胆囊息肉41~50岁检出率最高,为4.27%。(4)国家工作人员、专业技术人员、公司职员、工人4类职业人群肝胆疾病的检出率不同,差异有统计学意义(P0.05)。除肝囊肿外,国家工作人员在脂肪肝、胆囊炎、胆囊息肉、胆囊结石中的发病率较高(分别为:37.41%、10.05%、3.63%、2.26%),工人的发病率最低(分别为:29.40%、6.96%、2.90%、1.77%),差异有统计学意义(P0.05)。结论衡水市职工肝胆系统常见的疾病存在明显的性别、年龄、职业分布特点,应重视肝胆超声检查,对发病率高的特定人群进行重点宣教,普及健康知识,预防或减少肝胆系统疾病发病率。
[Abstract]:Objective to investigate the prevalence and causes of common diseases of hepatobiliary system among workers in Hengshui City. Methods A total of 24 579 workers in Hengshui city who took part in physical examination in a hospital in 2013 were selected to analyze the results of B ultrasound in liver and bile system. Results (1) the most common diseases of liver and bile system in Hengshui city were: fatty liver 32.67, cholecystitis 8.19, liver cyst 6.35, gallbladder polyp 3.2929, gallstone 2.43. 2) Fatty liver, cholecystitis, fatty liver, cholecystitis. The detection rates of hepatic cysts in men and women were 41.24% and 21.71% and 9.34%, respectively, and 6.71% and 6.95% and 5.58%, respectively, which were significantly higher in men than in women (P 0.05), but there was no significant difference in the detection rate of gallbladder polyps between men and women (P 0.05%. 3) cholecystitis, hepatic cyst, and cholecystitis. The detection rate of cholecystolithiasis increased with age (蠂 2 was 97.896497.407.40210.748P0.05, respectively. Fatty liver and gallbladder polyps showed a tendency of increasing first and then decreasing (蠂 2 = 93.4234.199P0.05, respectively). The detection rate of fatty liver was the highest between 51 and 60 years old, but the detection rate of fatty liver reached 39.24% and over 60 years old. The detection rate of gallbladder polyps was the highest at the age of 41 ~ 50, which was 4.27%.) National staff, professional and technical personnel, company employees, The detectable rate of hepatobiliary diseases was different among the four occupational groups of workers, and the difference was statistically significant (P 0.05). The incidence of fatty liver, cholecystitis, polyp of gallbladder and gallstone were higher in state workers than in liver cysts (10. 05, 10. 05) and 2. 26%, respectively, and the lowest among workers (1. 29. 40%, 6. 96%, 2. 90% and 1. 77%, respectively). The difference was statistically significant (P 0. 05). Conclusion the common diseases of hepatobiliary system in Hengshui city workers have obvious sex, age and occupational distribution characteristics. We should pay more attention to the ultrasonic examination of liver and bile duct, carry out important propaganda and education to the special population with high incidence rate, and popularize health knowledge. To prevent or reduce the incidence of hepatobiliary diseases.
【作者单位】：哈励逊国际和平医院;
【分类号】：R445.1;R194.3

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