不同病理类型结直肠息肉患者的血脂水平差异分析

Analysis of the differences of blood lipid levels in patients with colorectal polyps of different pathological types

目的探讨不同病理类型结直肠息肉患者的血脂水平差异。方法选取2017年1月-2017年12月在我院住院行电子结肠镜及病理检查确诊为结直肠息肉的227例患者,其中腺瘤性组132例,炎性组95例,所有患者均纳入性别、年龄、TC、TG、HDL、LDL、apoAⅠ、apoB、Lp(a)等9个可能影响因素,对两组各项临床参数进行比较分析。结果不同病理类型息肉组比较,腺瘤性组中血清apoAⅠ水平异常的比例较炎性组升高,差异有统计学意义(P<0.05)。结论血清apoAⅠ水平异常可能是结直肠腺瘤性息肉患者的危险因素。

Objective To explore the differences of blood lipid levels in patients with colorectal polyps of different pathological types. Methods A total of 227 patients with colorectal polyps diagnosed by electronic colonoscopy and pathological examination in the Affiliated Hospital of Youjiang Medical University for Nationalities from January 2017 to December 2017 were selected,132 cases in the adenomatous group and 95 cases in the inflammatory group. Nine possible factors of all patients such as gender,age,TC,TG,HDL,LDL,apoA I,apoB and Lp(a) were included in this study,and we compared and analyzed the clinical parameters of the two groups. Results Comparison between different pathological types of polyp groups showed that the proportion of abnormal serum apoA I level in adenomatous group was higher than that in the inflammatory group,and the difference was statistically significant( P <0.05). Conclusion Abnormal level of serum apoA I may be a risk factor for patients with colorectal adenomatous polyps.