浦东新区南汇区域胆囊结石与血糖、血脂、脂肪肝相关因素分析

发布时间：2018-05-30 03:09

本文选题：胆囊结石病 + 血糖　；参考：《重庆医学》2017年07期

【摘要】：目的探讨近几年浦东新区南汇区域人群中血糖、血脂、脂肪肝的分布情况及其与胆囊结石的相关关系。方法整群选取浦东新区光明中医院外科2011-2015年年龄20~99岁胆囊结石患者606例,对患者的血糖、血脂及彩色多普勒超声检查结果进行统计分析,用多元线性回归分析方法研究胆囊结石与高血糖、高血脂、脂肪肝的相关关系,同时1.00∶1.00分层匹配同期无胆囊疾病体检人群进行统计对比分析。结果在该胆囊结石发病人群中,男、女比例为1.00∶1.68,女性发病人数最多的集中在50~60岁,男性发病人数最多的集中在50~70岁。伴发血糖、血脂紊乱、脂肪肝一项或多项的高达64.03%,其中男性为71.68%,女性为59.47%。男、女胆囊结石患者各个年龄阶段高血糖、高血脂和脂肪肝的分布比较,差异有统计学意义(P0.05)。胆囊结石与高血糖、高血脂和脂肪肝存在着相关关系(P0.05),胆囊结石人群中高血糖、高血脂、脂肪肝的发病率高于体检非胆囊结石人群组。结论浦东南汇区域人群中有高血糖、高血脂、脂肪肝一项或一项以上的发病率高,高血糖、高血脂、脂肪肝是胆囊结石的危险因子。
[Abstract]:Objective to investigate the distribution of blood glucose, blood lipid, fatty liver and its relationship with gallstone in Nanhui area of Pudong New area in recent years. Methods 606 patients with cholecystolithiasis aged 20 ~ 99 years from 2011 to 2015 in Guangming traditional Chinese Medicine Hospital of Pudong New District were selected. The results of blood glucose, blood lipid and color Doppler ultrasound were statistically analyzed. The relationship between gallstone and hyperglycemia, hyperlipidemia and fatty liver was studied by multivariate linear regression analysis. Results the ratio of male to female was 1.00 to 1.68 in the group of gallstone disease. The most common incidence was in 50 ~ 60 years old in female, and the most in male in 50 ~ 70 years old. Accompanied by blood sugar, dyslipidemia, fatty liver, one or more up to 64.03, including male 71.68, female 59.47. The distribution of hyperglycemia, hyperlipidemia and fatty liver in male and female patients with cholecystolithiasis was significantly different (P 0.05). There was a correlation between gallstone and hyperglycemia, hyperlipidemia and fatty liver. The incidence of hyperglycemia, hyperlipidemia and fatty liver in gallstone group was higher than that in non-gallstone group. Conclusion the incidence of hyperglycemia, hyperlipidemia, one or more fatty liver is high, hyperglycemia, hyperlipidemia and fatty liver are the risk factors of gallstone.
【作者单位】：中国人民解放军第二军医大学热带医学和公共卫生学系;浦东新区光明中医医院外一科;
【分类号】：R575.5;R575.62

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