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目的:了解浙江省武义县农村地区中老年居民胆石症患病情况及其影响因素。方法:研究采用随机整群抽样的方法,对浙江省武义县5个乡镇、街道的1 998名的农村中老年居民进行超声检查,并对影响其胆石症超声检出的相关因素进行分析。结果:对1 998名农村中老年居民进行超声检查,共发现胆石症患者261名,胆石症超声检出率为13.06%;采用χ2检验表明,女性、年龄≥60岁、BMI(kg/m2)≥25、吸烟、经常饮酒、常食动物脂肪、不常食禽蛋、不吃早饭、高糖饮食、有肝炎或肝硬化史、有胆石症家族史、患有糖尿病及患有高脂血症的农村中老年居民胆石症超声检出率较高,多因素Logistic回归分析得出:常食禽蛋为避免农村中老年居民胆石症超声检出的保护性因素(OR小于1,P<0.05),年龄≥60岁、BMI≥25kg/m2、常食动物脂肪、高糖饮食、胆石症家族史、患有糖尿病及高脂血症为农村中老年居民胆石症超声检出的危险因素(OR均大于1,P<0.05)。结论:农村中老年居民胆石症超声检出率较高,应针对其相关危险因素做好针对性的预防、干预工作。
Objective: To understand the prevalence of cholelithiasis among middle-aged and elderly residents in rural areas of Wuyi County, Zhejiang Province and its influencing factors. Methods: A total of 1 998 rural middle-aged and elderly residents in 5 townships and sub-districts in Wuyi County of Zhejiang Province were studied by using random cluster sampling. The related factors affecting the detection of cholelithiasis were analyzed. Results: A total of 1 998 elderly residents in rural areas were examined by ultrasound, 261 of them were diagnosed as cholelithiasis, and 13.06% of them were diagnosed by cholelithiasis. The results ofχ2 test showed that female, age≥60 years, BMI (kg / m2) ≥ 25, smoking, regular alcohol consumption, fattening animal food, not eating eggs, not eating breakfast, high-sugar diet, history of hepatitis or cirrhosis, family history of cholelithiasis, diabetes and diabetes in rural areas with hyperlipidemia The prevalence of cholelithiasis was higher in middle-aged and elderly residents. Multivariate Logistic regression analysis showed that the protective factors of cholelithiasis detected in rural middle-aged and elderly residents (OR <1, P <0.05) 60 years old, BMI≥25kg / m2, common animal fat, high sugar diet, cholelithiasis family history, diabetes and hyperlipidemia were the risk factors of cholelithiasis detected by middle-aged and elderly residents in rural areas (OR> 1, P <0.05). Conclusion: The detection rate of cholelithiasis in middle-aged and elderly residents in rural areas is relatively high. Precautionary measures and interventions should be made according to the relevant risk factors.