波密县藏族农牧民胆囊结石的流行病学调查

Epidemiological investigation of cholecystolithiasis among Tibetan herdsmen and herdsmen in Bomi County

目的对波密县藏族胆囊结石的患病率进行流行病学调查,了解相关影响因素。方法采用问卷以及体检形式调查胆囊结石的患病率,分析相关危险因素对其影响。结果波密县藏族人群胆囊结石患病率呈逐年上升趋势,胆囊结石的总患病率为2.0%,男性高于女性(P﹤0.05);胆囊结石患病率同样随着年龄的增加而增加;胆囊结石人群血脂明显高于正常组(P﹤0.05);多因素回归分析提示高胆固醇血症、高甘油三脂血症、性别、年龄、饮酒等因素是胆囊结石的危险因素。结论波密县藏族男性胆囊结石及胆囊结石的患病率均高于女性,人群中患有高血脂等代谢性疾病的胆囊结石患病率高于正常人群,应该提高人们对该病认识,早期采取预防措施。

Objective To investigate the prevalence of gallbladder stones in Bomi county of Tibet and to find out the influencing factors. Methods Questionnaire and physical examination were used to investigate the prevalence of cholecystolithiasis and to analyze the influence of risk factors. Results The prevalence rate of cholecystolithiasis in the Tibetan population of Bomi County was increasing year by year, the total prevalence of cholecystolithiasis was 2.0% and that of males was higher than that of females （P 〈 0.05）. The prevalence of cholecystolithiasis also increased with age （P 〈 0.05）. Multivariate regression analysis showed that hypercholesterolemia, hypertriglyceridemia, gender, age, drinking and other factors were the risk factors of cholecystolithiasis （P 〈 0.05）. Conclusion The prevalence of cholecystolithiasis and cholecystolithiasis is higher in Tibetan men in Bomi county than that in women. The prevalence of gallbladder stones with metabolic diseases such as hyperlipidemia is higher than that of normal people. It is necessary to raise people＇s awareness of the disease, Early to take preventive measures.