摘要
目的 探讨健康体检人群行胃肠镜检查所检出常见疾病与年龄、性别、收缩压、舒张压、脉搏、体质指数、腰围、臀围、腰臀比以及有无贫血、高血压、血脂异常、糖尿病、高尿酸血症等的相关关系,探究疾病危险因素。方法 回顾性分析2019年2月至2022年9月西南医科大学附属医院健康体检人群同时完善胃镜与结肠镜检查者检查结果,对常见疾病与年龄、性别、收缩压、舒张压、脉搏、体质指数、腰围、臀围、腰臀比以及有无贫血、高血压、血脂异常、糖尿病、高尿酸血症等资料进行相关因素Logistic单因素及多因素回归分析,探索所检出胃肠道常见疾病的相关危险因素。结果 共1188人同时完善胃镜、结肠镜检查,经Logistic回归法分析疾病危险因素,高血压、高尿酸血症、年龄、体质指数为慢性非萎缩性胃炎的独立危险因素;年龄、舒张压、男性、高尿酸血症为胃粘膜糜烂的独立危险因素;舒张压、臀围、腰围、腰臀比、体质指数、男性为十二指肠炎的独立危险因素;年龄、收缩压、舒张压、男性为胃肠息肉的独立危险因素。结论 多种因素为慢性非萎缩性胃炎、胃黏膜糜烂、十二指肠炎、胃肠息肉、痔疮的危险因素,积极控制相关因素可早期预防和缓解相关疾病,防止疾病进一步进展。
Objective To explore the correlation between common diseases detected by gastroenteroscopy and age,gender,systolic blood pressure,diastolic blood pressure,pulse,body mass index,waist circumference,hip circumference,waist hip ratio,anemia,hypertension,dyslipidemia,diabetes,hyperuricemia,and explore disease risk factors.Methods The results of gastroscopy and colonoscopy were analyzed retrospectively from February 2019 to September 2022 at Southwest Medical University hospitals.Logistic single factor and multiple factors regression analysis was carried out to explore the related risk factors of common gastrointestinal diseases on the data of age,sex,systolic blood pressure,diastolic blood pressure,pulse,body mass index,waist circumference,hip circumference,waist hip ratio,anemia,hypertension,dyslipidemia,diabetes,hyperuricemia,etc.Results A total of 1188 people completed gastroscopy and colonoscopy at the same time.Logistic regression analysis showed that hypertension,hyperuricemia,age,and body mass index were independent risk factors for chronic non-atrophic gastritis;Age,diastolic blood pressure,male and hyperuricemia were independent risk factors for gastric mucosal erosion;Diastolic pressure,hip circumference,waist circumference,waist to hip ratio,body mass index and male were independent risk factors for duodenitis;Age,systolic blood pressure,diastolic blood pressure and male were independent risk factors for gastrointestinal polyps.Conclusion Many factors are risk factors of chronic non-atrophic gastritis,gastric mucosal erosion,duodenitis,gastrointestinal polyps and hemorrhoids.Active control of relevant factors can prevent and alleviate related diseases at an early stage and prevent further progress of the disease.
作者
贾凤娟
汤小伟
张学飞
喻双雨
夏国栋
JIA Feng-juan;TANG Xiao-wei;ZHANG Xue-fei;YU Shuang-yu;XIA Guo-dong(Department of Gastroenterology,Affiliated Hospital of Southwest Medical University,Luzhou 646000;Health Management Centre,Affiliated Hospital of Southwest Medical University,Luzhou 646000)
出处
《现代消化及介入诊疗》
2023年第1期41-46,共6页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
健康体检
胃镜
结肠镜
危险因素
health check-up
gastroscope
colonoscope
detection rate
risk factors
