摘要
目的调查分析成都市大邑地区胆结石的发病现状及其危险因素。方法2021年1月至2022年12月采用整群随机抽样方法选择成都市大邑地区当地居民为研究对象,均进行腹部彩超检查,且采用问卷调查表收集其基本资料。采用描述性分析方法分析胆结石发病情况,并采用单因素、多因素logistic回归分析法分析胆结石的危险因素。结果共纳入有效研究对象3775名,诊断胆结石患者422例,发病率为11.18%,其中胆囊结石、胆总管结石、肝内胆管结石分别为289例(7.66%)、97例(2.57%)、44例(1.17%)。多因素logistic回归分析结果显示,女性(OR=1.868)、经常不吃早餐(OR=8.619)、高脂饮食(OR=6.787)、高糖饮食(OR=2.633)、常食动物内脏(OR=6.117)、长期口服避孕药(OR=2.239)、胆囊炎病史(OR=4.554)、糖尿病病史(OR=3.031)、胆结石家族史(OR=11.167)是胆结石发病的危险因素。结论成都市大邑地区的胆结石发病率偏高,以胆囊结石最为常见,女性、经常不吃早餐、高脂饮食、高糖饮食、常食动物内脏、长期口服避孕药、胆囊炎病史、糖尿病病史、胆结石家族史是胆结石发病的危险因素。
Objective To investigate the incidence and risk factors of gallstones in Dayi County,Chengdu City.Methods A cluster random sampling method was used to select local residents in Dayi County,Chengdu City from January 2021 to December 2022.All of them underwent abdominal color ultrasound examination,and their basic data were collected by questionnaire.Descriptive analysis method was used to analyze the incidence of gallstones,and the risk factors of gallstones were analyzed by univariate and multivariate logistic regression analysis.Results A total of 3775 effective subjects were included,and 422 patients were diagnosed with gallstones,with an incidence rate of 11.18%,including 289 cases(7.66%)of cholecystolithiasis,97 cases(2.57%)of calculus of common bile duct,and 44 cases(1.17%)of intrahepatic biliary stone.Multivariate logistic regression analysis showed that female(OR=1.868),frequent skipping breakfast(OR=8.619),high-fat diet(OR=6.787),high-sugar diet(OR=2.633),frequent eating of animal viscera(OR=6.117),long-term oral contraceptives(OR=2.239),history of cholecystitis(OR=4.554),history of diabetes(OR=3.031),and family history of gallstones(OR=11.167)were risk factors for gallstones.Conclusions The incidence of gallstones is high in Dayi Couty,Chengdu City,and cholecystolithiasis is the most common.Female,frequent skipping breakfast,high-fat diet,high-sugar diet,frequent eating of animal viscera,long-term oral contraceptives,history of cholecystitis,history of diabetes,and family history of gallstones are the risk factors for gallstones.
作者
张孝亮
马秋
张雳
邓育维
彭卉
ZHANG Xiaoliang;MA Qiu;ZHANG Li;DENG Yuwei;PENG Hui(The Second People's Hospital of Dayi County,Chengdu 611331,China;The Sixth People's Hospital of Dayi County;Wenjiang District Maternal and Child Health Hospital)
出处
《华南预防医学》
2023年第6期686-689,共4页
South China Journal of Preventive Medicine
基金
成都市医学科研项目(2022384)。
关键词
胆结石
危险因素
现状
Gallstone
Risk factor
Current status
