摘要
目的 分析上海市体检人群胆囊息肉样病变的检出现状及相关危险因素.方法 选取2021年1月1日至12月31日在华东疗养院行健康体检人员,收集其基本情况及体检结果等.采用胆囊超声检查体检者胆囊息肉样病变情况,采用单、多因素方法分析胆囊息肉样病变检出的相关因素.结果 4902名健康体检者中男性2967名,平均年龄(46.64±10.06)岁.共检出胆囊息肉样病变1 008例,总检出率为20.6％.多因素logistic回归分析结果显示,女性(OR=0.703)、学历本科以下(OR=0.667)、已婚(OR=0.028)、吸烟(OR=1.350)、喝酒(OR=22.270)、经常喝牛奶(OR=1.283)、Hp阳性(OR=84.330)、经常精神紧张(OR=1.245)、中心性肥胖(OR=1.327)与检出胆囊息肉样病变有关.结论 上海地区健康体检人群胆囊息肉样病变检出率较高,男性、吸烟、喝酒、经常精神紧张、中心性肥胖、HP阳性、经常喝牛奶等的体检者胆囊息肉样病变检出风险较高.
Abstract
Objective To analyze the cunent status of polypoid lesion of gallbladder(PLG)and related risk fac-tors in physical examination population in Shanghai.Methods From January 1 to December 31,2021,the participants who underwent physical examination in East China Sanatorium were selected to collect their basic information and physical examination results.The PLG were examined by ultrasonography,and the related factors were analyzed by univariate and multivariate analysis methods.Results There were 4 902 healthy subjects,including 2 967 males,with an average age of(46.64±10.06)years.A total of 1 008 cases of PLG were detected,the total detection rate was 20.6％.Multivariate logis-tic regression analysis showed that female(OR=0.703),bachelor degree or below(OR=0.667),married(OR=0.028),smoking(OR=1.350),drinking(OR=22.270),drinking milk frequently(OR=1.283),Hp positive(OR=84.330),fre-quent mental stress(OR=1.245),and central obesity(OR=1.327)were associated with PLG.Conclusions The detec-tion rate of PLG is relatively high in the health examination population in Shanghai.Males,smokers,drinkers,frequent mental stress,central obesity,HP positive individuals,and those who frequently drink milk have a higher risk of PLG.
基金项目
上海市公共卫生三年行动计划(第五轮)(GWV-7)
NETL
NSTL
万方数据