摘要
目的:探讨连山地区胆道结石疾病的流行病学调查情况,并对相关影响因素分析,为制订防治胆道结石方案提供依据。方法:2015年6月-2017年12月对连山地区居民行流行病学调查分析,在各社区卫生服务中心的组织下,结合居民健康体检工作,通过入户调查、分层整群的方法,采用统一编制的健康体检档案表格和问卷,包括不良习惯、个人史、婚姻状况、教育史、家族史、一般状况、患病史等疾病。纳入调查的患者均接受B超检查,开展体检和面对面问卷调查,采取统一的诊断标准和调查方法,生化分析相关指标检测。结果:本次调查共获得有效样本5674例,连山地区的居民胆道结石患病率达7.96%,女性患病率8.65%,男性患病率7.30%,女性发病率高于男性,差异有统计意义(P<0.05);不同性别的胆道结石均随年龄的增高而增加,40岁以上患病率明显增高,职业活动强度轻度者高于重度者;多因素回归分析提示BMI指数增高、高三酰甘油血症、文化程度、年龄、不吃早餐、家族史等因素是胆道结石的危险因素。结论:连山地区2015年6月-2017年12月胆道结石患病率较高,其中女性胆道结石发病率高于男性,应加强对农村居民健康行为宣教和引导,针对影响因素进行干预,提高人们对该病的认识,控制胆道结石的发病率。
Objective： To explore the epidemiological investigation of biliary calculi disease in Lianshan area and analyze relevant influencing factors, so as to provide a basis for the prevention and treatment of biliary calculi. Methods： Lianshan district residents received line of epidemiological investigation and analysis from June 2015 to December 2017 under the organization of community health service center, combined with the people health physical examination work and the household survey, the method of stratified cluster, the unified formulation of health check-up files form, questionnaire was made, including bad habits, personal history, marital status, education, family history, general situation, disease history and other diseases. The patients included in the survey received B ultrasound examination, carried out physical examination and face-to-face questionnaire survey, and adopted a unified diagnostic standard and survey method, and related biochemical indexes were detected and analyzed. Results： The survey received 5674 valid samples, the biliary calculi incidence of Lianshan district residents was 7.96%, and the female prevalence was 8.65% and that of male was 7.30%, the incidence of women was higher than the men, the difference was statistical significance（P〈0.05）. The biliary stones of different genders increased with age, the prevalence rate was significantly higher in the age of 40 years, and those with mild intensity of occupational activity was higher than those of the severe intensity of occupational activity. Multivariate regression analysis indicated that the risk factors for biliary stones included higher BMI, triglyceridemia, culture, age, skipping breakfast and family history. Conclusion： The biliary calculi incidence of Lianshan district from June 2015 to December 2017 was higher, the female biliary calculi incidence was higher than men, we should strengthen the propaganda and guidance for rural residents health behavior, intervention should be carried out targeting the influencing factors to raise the awareness of the disease, and control the incidence of biliary calculi.
出处
《中医临床研究》
2018年第12期17-19,共3页
Clinical Journal Of Chinese Medicine
关键词
连山地区
影响因素
胆道结石
患病现状
Lianshan district
Infuencing factors
Biliary calculus
Disease status quo
