实用老年医学

实用老年医学 ›› 2023, Vol. 37 ›› Issue (2): 160-163.doi: 10.3969/j.issn.1003-9198.2023.02.013

• 临床研究 • 上一篇    下一篇

社区老年人胆结石相关发病危险因素分析

李琳玥, 许叶旻, 张云, 张志梅, 卢丽萍, 冯心怡, 邓彬, 王少丹   

  1. 225000 江苏省扬州市,扬州市西区新城社区卫生服务中心内科(李琳玥,张志梅,卢丽萍);
    225000 江苏省扬州市,扬州大学附属医院消化科(许叶旻,张云,冯心怡,邓彬,王少丹)
  • 收稿日期:2022-02-17 出版日期:2023-02-20 发布日期:2023-02-27
  • 通讯作者: 王少丹,Email:149022541@126.com

Analysis of the risk factors of gallstone disease in community eldely

LI Lin-yue, XU Ye-min, ZHANG Yun, ZHANG Zhi-mei, LU Li-ping, FENG Xin-yi, DENG Bin, WANG Shao-dan   

  1. Department of Internal Medicine, Community Health Service Centre of West New Town in Hanjiang District, Yangzhou 225000, China(LI Lin-yue, ZHANG Zhi-mei, LU Li-ping);
    Department of Gastroenterology, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China(XU Ye-min, ZHANG Yun, FENG Xin-yi, DENG Bin, WANG Shao-dan)
  • Received:2022-02-17 Online:2023-02-20 Published:2023-02-27
  • Contact: WANG Shao-dan, Email: 149022541@126.com

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摘要： 目的 调查扬州社区常住老年人胆结石的流行状况,并探究其发病危险因素。方法 选取2020年6~9月在扬州市西区新城社区卫生服务中心行健康体检的老年人为研究对象,共计5377例,根据腹部彩超结果分为胆结石组和对照组,比较2组的基本资料和血液生化指标。采用二元Logistic回归分析胆结石患病的影响因素。结果 研究对象中患有胆结石者共计1167例,患病率为21.7%;2组间性别、居住城市地区、腹型肥胖、糖尿病、脂肪肝及BMI、FPG、TC、TG、LDL-C、HDL-C、ALT水平差异有统计学意义(P<0.05)。Logistic回归分析显示,女性、居住城市地区、腹型肥胖、脂肪肝、BMI、FPG是胆结石发生的危险因素(P<0.05)。结论 社区老年人胆结石的发生可能与女性、居住城市地区、腹型肥胖、基础有脂肪肝、FPG和BMI相关,应对高危人群重点进行筛查和预防。

关键词: 胆囊结石, 危险因素, 老年人

Abstract: Objective To investigate the epidemic characteristics of gallstone in community elderly of Yangzhou, and to explore the risk factors of gallstone. Methods A total of 5377 elderly people who underwent physical examination in Community Health Service Centre of West New Town in Yangzhou from June to September 2020 were enrolled. The subjects were divided into the gallstone group and the control group according to the results of abdominal ultrasound examination. Basic information and blood biochemical parameters were collected and compared in the two groups. Binary Logistic regression analysis was used to analyze the risk factors of gallstone. Results A total of 1167 cases presented with gallstone, with an incidence rate of 21.7%. There were significant differences in gender, living in urban areas, abdominal obesity, diabetes, fatty liver, body mass index (BMI), fasting plasma glucose (FPG),total cholesterol (TC),triglycerides (TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C),alanine aminotransferase (ALT) between the two groups (P<0.05). Logistic regression analysis showed that female, living in urban areas, abdominal obesity, fatty liver, BMI, FPG were the independent risk factors for gallstone (P<0.05). Conclusions The potential risk factors of gallstone in the community elderly people are female, living in urban areas, abdominal obesity,fatty liver, FPG and BMI. Focusing on the risk factors is important to prevent gallstone in the elderly.

Key words: gallstone, risk factors, aged

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