中山市社区居民胆囊息肉的危险因素调查

Investigation on Risk Factors of Gallbladder Polyp in Community Residents of Zhongshan City

目的:探讨中山市社区居民胆囊息肉的有关危险因素,为临床诊治提供有价值的参考。方法:选取2015年3月-2017年3月在本院就诊并经B超检查证实为胆囊息肉患者120例为胆囊息肉组,另选取同期于本院体检且健康状况良好的非胆囊息肉者120例为对照组。统计两组年龄、性别、高血压病史、糖尿病史、BMI、血压、空腹血糖(FBG)、血脂及HBV相关指标等资料,并进行单因素及多因素Logistic回归分析。结果:单因素分析得出,两组性别、胆囊壁增厚、HBV指标比较,差异均有统计学意义(P<0.05);多因素Logistic回归分析得出,胆囊壁增厚、男性、HBs Ag(+)/anti-HBc(+)及HBs Ag(-)/anti-HBc(+)均为胆囊息肉的高危因素(P<0.05)。结论:中山市社区居民胆囊息肉的主要危险因素为乙型肝炎病毒感染、胆囊壁增厚及男性,必须高度重视,给予积极的预防措施,减少胆囊息肉的发病率。

Objective：To explore the risk factors of gallbladder polyps in community residents of Zhongshan City,and to provide valuable reference for clinical diagnosis and treatment.Method：A total of 120 patients with gallbladder polyps confirmed by B-ultrasound in our hospital from March 2015 to March 2017 were selected as gallbladder polyps group,and 120 patients with healthy non-gallbladder polyps who were examined in our hospital at the same time were selected as control group.The data of age,sex,history of hypertension,history of diabetes,BMI,blood pressure,fasting blood glucose（FBG）,blood lipid and HBV related indexes were counted,and single factor and multivariate logistic regression analysis were carried out.Result：Single factor analysis shows that,the gender,gallbladder wall thickening and HBV index in two groups were compared,the differences were statistically significant（P〈0.05）.Multifactor Logistic regression analysis showed that the thickening of gallbladder wall,male,HBs Ag（＋）/anti-HBc（＋） and HBs Ag（-）/anti-HBc（＋） were all high risk factors for gallbladder polyps（P〈0.05）.Conclusion：The main risk factors of gallbladder polyps in Zhongshan community are hepatitis B virus infection,gallbladder wall thickening and male,must give the attaches great importance to and give positive prevention measures to reduce the incidence of gallbladder polyps.