金昌队列人群胆石症的患病状况及影响因素研究

发布时间：2018-01-24 00:29

本文关键词： 职业队列胆石症患病状况影响因素　出处：《中国卫生统计》2016年01期 　论文类型：期刊论文

【摘要】：目的为了解金昌队列人群胆石症的患病状况,探讨其影响因素,为队列人群制定胆石症的防治措施提供基础数据和科学依据。方法以进入队列的23136人为研究对象开展流行病学调查、实验室检查和腹部B超检查,最终剔除部分研究对象(未参加B超检查者)后,共20045例,有效率为86.33%。结果胆石症的总患病率为9.87%,男性患病率8.70%,女性患病率11.88%。胆石症的患病率随年龄的增加呈递增趋势,无论男女均在60岁以上患病率最高。胆石症的主要影响因素为:60岁以上人群(OR=2.56;95%CI 1.97~3.33)、高血糖(OR=2.02;95%CI 1.61~2.55)、高甘油三酯(OR=1.64;95%CI 1.43~1.87)、高尿酸(OR=1.40;95%CI 1.19~1.66)、超重(OR=1.31;95%CI 1.02~1.69)、煤粉尘接触史(OR=1.25;95%CI 1.03~1.52)。结论女性和老年人,特别是60岁以上的老年女性是胆石症患病的高危人群,高血糖、高甘油三脂和超重是该队列人群患胆石症重要的危险因素。
[Abstract]:Objective to understand the prevalence of cholelithiasis in Jinchang cohort, explore its influencing factors, provide basic data and scientific basis for the formulation of cholelithiasis cohort prevention measures. Methods to carry out 23136 subjects into the queue of epidemiological survey, laboratory examination and abdominal ultrasound examination, the final part of the research object (excluding who did not participate in the ultrasound examination), a total of 20045 cases, effective rate was 86.33%. the cholelithiasis total prevalence rate was 9.87%, 8.70% prevalence rate of men and women 11.88%. prevalence of cholelithiasis prevalence increased with the age increasing trend, both men and women over the age of 60 the highest prevalence rate. The main influence factors of cholelithiasis: 60 people over the age (OR=2.56; 95%CI 1.97~3.33), high glucose (OR=2.02; 95%CI 1.61~2.55), high triglyceride (OR=1.64; 95%CI 1.43~1.87), uric acid (OR=1.40; 95% CI 1.19~1.66), overweight (OR=1.31; 95%CI 1 2~1.69), coal dust exposure (OR=1.25; 95%CI 1.03~1.52). Conclusion the women and the elderly, especially over the age of 60 women are at high risk of cholelithiasis in the high blood sugar, high fat and oil three overweight is the cohort risk of gallstone disease an important factor.

【作者单位】：金川集团股份有限公司职工医院;兰州大学公共卫生学院流行病与卫生统计学研究所兰州大学肿瘤防治研究中心;
【基金】：国家医改重大专项国家重大公共卫生服务专项(财社[2012]-026)
【分类号】：R575.62
【正文快照】： 胆石症是指发生在胆道系统内由胆汁成分异常、胆道运动功能失调共同作用所致胆管内胆汁的某些成分(如胆固醇、胆色素、钙、粘液物质等)析出、凝聚成石的疾病,是一种常见病和多发病[1]。有研究表明胆石症是胆道癌重要而明确的危险因素[2]。随着时间的变化,经济水平的提高,饮食

【相似文献】