华南预防医学 ›› 2024, Vol. 50 ›› Issue (1): 15-19.doi: 10.12183/j.scjpm.2024.0015

• 论著 • 上一篇    下一篇

上海市体检人群胆囊息肉样病变检出现状及危险因素分析

朱绘绘1, 尤爱军2,3, 薛建华1, 田建广1   

  1. 1.华东疗养院,江苏 无锡 214064;
    2.海军军医大学第一附属医院临床研究中心;
    3.同济大学医学院公共卫生与与预防医学系
  • 收稿日期:2023-05-18 出版日期:2024-01-20 发布日期:2024-03-13
  • 通讯作者: 薛建华,E‐mail:1941297@tongji.edu.com;田建广,E‐mail:13817182087@139.com
  • 作者简介:朱绘绘(1986—),女,硕士研究生,主治医师,主要从事职业人群健康管理与促进工作
  • 基金资助:
    第五轮上海市公共卫生三年行动计划项目(GWV-7 )

Status and risk factors of polypoid lesion of gallbladder in physical examination population in Shanghai

ZHU Huihui1, YOU Aijun2,3, XUE Jianhua1   

  1. 1. East China Sanatorium,Wuxi 214064,China;
    2. Clinical Research Center of the First Affiliated Hospital of Naval Medical University;
    3. Department of Public Health and Preventive Medicine,Tongji University School of Medicine
  • Received:2023-05-18 Online:2024-01-20 Published:2024-03-13

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 4 902名健康体检者中男性2 967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。

关键词: 胆囊息肉样病变, 危险因素, 健康体检人群

Abstract: Objective To analyze the current status of polypoid lesion of gallbladder (PLG) and related risk factors 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 logistic 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), frequent mental stress (OR=1.245), and central obesity (OR=1.327) were associated with PLG. Conclusions The detection 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.

Key words: Polypoid lesion of gallbladder, Risk factor, Physical examination population

中图分类号: 

  • R195.4