中山市社区居民胆囊息肉的危险因素调查(1)
【摘要】 目的：探讨中山市社区居民胆囊息肉的有关危险因素，为临床诊治提供有价值的参考。方法：选取2015年3月-2017年3月在本院就诊并经B超检查证实为胆囊息肉患者120例为胆囊息肉组，另选取同期于本院体检且健康状况良好的非胆囊息肉者120例为对照组。统计两组年龄、性别、高血压病史、糖尿病史、BMI、血压、空腹血糖(FBG)、血脂及HBV相关指标等资料，并进行单因素及多因素Logistic回归分析。结果：单因素分析得出，两组性别、胆囊壁增厚、HBV指标比较，差异均有统计学意义(P<0.05)；多因素Logistic回归分析得出，胆囊壁增厚、男性、HBsAg(+)/anti-HBc(+)及HBsAg(-)/anti-HBc(+)均为胆囊息肉的高危因素(P<0.05)。结论：中山市社区居民胆囊息肉的主要危险因素为乙型肝炎病毒感染、胆囊壁增厚及男性，必须高度重视，给予积极的预防措施，减少胆囊息肉的发病率。
【关键词】 胆囊息肉； 危险因素； 乙型肝炎病毒感染； 胆囊壁增厚
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Investigation on Risk Factors of Gallbladder Polyp in Community Residents of Zhongshan City/YE Xiangdong.//Medical Innovation of China，2018，15(12)：126-129
【Abstract】 Objective：To explore the risk factors of gallbladder polyps in community residents of Zhongshan City，and to provide valuable reference for clinical diagnosis and treatment.Method：A total of 120 patients with gallbladder polyps confirmed by B-ultrasound in our hospital from March 2015 to March 2017 were selected as gallbladder polyps group，and 120 patients with healthy non-gallbladder polyps who were examined in our hospital at the same time were selected as control group.The data of age，sex，history of hypertension，history of diabetes，BMI，blood pressure，fasting blood glucose(FBG)，blood lipid and HBV related indexes were counted，and single factor and multivariate logistic regression analysis were carried out.Result：Single factor analysis shows that，the gender，gallbladder wall thickening and HBV index in two groups were compared，the differences were statistically significant(P<0.05).Multifactor Logistic regression analysis showed that the thickening of gallbladder wall，male，HBsAg(+)/anti-HBc(+) and HBsAg(-)/anti-HBc(+) were all high risk factors for gallbladder polyps(P<0.05).Conclusion：The main risk factors of gallbladder polyps in Zhongshan community are hepatitis B virus infection，gallbladder wall thickening and male，must give the attaches great importance to and give positive prevention measures to reduce the incidence of gallbladder polyps.
, 百拇医药
【Key words】 Gallbladder polyp； Risk factors； Hepatitis B virus infection； Gallbladder wall thickens
First-author’s address：Zhongshan Shenwan Hospital，Zhongshan 528462，China
doi：10.3969/j.issn.1674-4985.2018.12.036
膽囊息肉在临床肝胆科属于常见病，给患者身心健康带来不良影响，因此掌握胆囊息肉的相关危险因素对其有效防治有重要价值[1-2]。本研究收集了胆囊息肉患者及同期非胆囊息肉者的临床资料及体检结果，包括体重指数(BMI)、血脂、空腹血糖(FBG)、乙型肝炎病毒感染情况等，以探讨影响中山市社区居民胆囊息肉的主要危险因素，为临床诊治提供理论基础与依据。现报道如下。
1 资料与方法
1.1 一般资料 选取2015年3月-2017年3月在本院就诊并经B超检查证实为胆囊息肉患者120例为胆囊息肉组，同期选取于本院体检且健康状况良好的非胆囊息肉者120例为对照组。纳入标准：一般资料齐全；对研究知情，并签署同意书；遵医嘱完成了全套检查者。排除标准：胆囊切除史患者；认知障碍或者严重精神疾病者无法配合调查；资料不全，依从性差。本研究已经院伦理委员会审核批准。, http://www.100md.com(叶向东)
【关键词】 胆囊息肉； 危险因素； 乙型肝炎病毒感染； 胆囊壁增厚
, http://www.100md.com
Investigation on Risk Factors of Gallbladder Polyp in Community Residents of Zhongshan City/YE Xiangdong.//Medical Innovation of China，2018，15(12)：126-129
【Abstract】 Objective：To explore the risk factors of gallbladder polyps in community residents of Zhongshan City，and to provide valuable reference for clinical diagnosis and treatment.Method：A total of 120 patients with gallbladder polyps confirmed by B-ultrasound in our hospital from March 2015 to March 2017 were selected as gallbladder polyps group，and 120 patients with healthy non-gallbladder polyps who were examined in our hospital at the same time were selected as control group.The data of age，sex，history of hypertension，history of diabetes，BMI，blood pressure，fasting blood glucose(FBG)，blood lipid and HBV related indexes were counted，and single factor and multivariate logistic regression analysis were carried out.Result：Single factor analysis shows that，the gender，gallbladder wall thickening and HBV index in two groups were compared，the differences were statistically significant(P<0.05).Multifactor Logistic regression analysis showed that the thickening of gallbladder wall，male，HBsAg(+)/anti-HBc(+) and HBsAg(-)/anti-HBc(+) were all high risk factors for gallbladder polyps(P<0.05).Conclusion：The main risk factors of gallbladder polyps in Zhongshan community are hepatitis B virus infection，gallbladder wall thickening and male，must give the attaches great importance to and give positive prevention measures to reduce the incidence of gallbladder polyps.
, 百拇医药
【Key words】 Gallbladder polyp； Risk factors； Hepatitis B virus infection； Gallbladder wall thickens
First-author’s address：Zhongshan Shenwan Hospital，Zhongshan 528462，China
doi：10.3969/j.issn.1674-4985.2018.12.036
膽囊息肉在临床肝胆科属于常见病，给患者身心健康带来不良影响，因此掌握胆囊息肉的相关危险因素对其有效防治有重要价值[1-2]。本研究收集了胆囊息肉患者及同期非胆囊息肉者的临床资料及体检结果，包括体重指数(BMI)、血脂、空腹血糖(FBG)、乙型肝炎病毒感染情况等，以探讨影响中山市社区居民胆囊息肉的主要危险因素，为临床诊治提供理论基础与依据。现报道如下。
1 资料与方法
1.1 一般资料 选取2015年3月-2017年3月在本院就诊并经B超检查证实为胆囊息肉患者120例为胆囊息肉组，同期选取于本院体检且健康状况良好的非胆囊息肉者120例为对照组。纳入标准：一般资料齐全；对研究知情，并签署同意书；遵医嘱完成了全套检查者。排除标准：胆囊切除史患者；认知障碍或者严重精神疾病者无法配合调查；资料不全，依从性差。本研究已经院伦理委员会审核批准。, http://www.100md.com(叶向东)