胆囊切除与代谢综合征及其危险因素的相关性分析

Analysis of the Correlation of Cholecystectomy with Metabolic Syndrome and the Risk Factors

【目的】分析胆囊切除与代谢综合征（MS ）的关系，为更好的认识MS并减轻其危害提供依据。【方法】回顾性分析2012年于本院参加健康体检的4537例体检资料，分析胆囊切除与M S及其各组分患病率的关系。【结果】调查人群胆囊结石、胆囊切除、MS的患病率（胆囊切除率）分别为5．9％、3．4％和32．7％；胆囊切除人群的M S患病率（63．5％）显著高于胆囊结石人群（45．5％）和无胆囊疾病人群（30．7％）；进一步多因素Logistic回归分析发现，胆囊切除与MS的患病风险有关（OR ：2．181，95％ CI：1．295-3．674）。【结论】胆囊切除人群MS患病率显著升高，且胆囊切除与MS患病危险因素有关。

Objective To analyze the correlation between cholecystectomy and metabolic syndrome （MS） in order to provide the basis for the better realization and the decreasing of the damage of MS .[Methods] The health examination data of 4537 subjects attending health examination in our hospital at 2012 were analyzed retrospectively .The correlation between cholecystectomy and the prevalence of MS and the constituents was analyzed .[Results]The prevalence of gallstones ,cholecystectomy and MS in all subjects were 5 .9% ,3 .4%and 32 .7% ,respectively .The prevalence of MS in patients undergoing cholecystectomy （63 .5% ） was significantly higher than that in patients with gallstones （45 .5% ） and patients without gallbladder disease（30 .7% ） . Further multiple logistic regression analysis showed that cholecystectomy was related with the risk factors of MS（OR ：2 .181 ,95% CI：1 .295-3 .674） .[Conclusion] The prevalence of MS in patients with cholecystecto-my is increased significantly ,and cholecystectomy is associated with the risk factors of MS .