体检者胃溃疡检出率及其影响因素分析

Analysis of the Detection Rate of Gastric Ulcer and its Influencing Factors in Physical Examination Patients

目的调查体检者胃溃疡的检出情况及其发生的影响因素。方法收集2018年1月~12月我院健康管理中心9125名体检者的体检资料,根据胃镜检查及/或病理检查结果将体检者分为胃溃疡组519例和非溃疡组8606例,比较两组一般资料(年龄、性别、教育程度、BMI、吸烟、饮酒、Hp感染状况、饮食、每日睡眠时间、体检季节),采用Logistic回归模型分析胃溃疡发生的影响因素。结果共9125名体检者,胃溃疡检出率5.69%。单因素分析结果显示,两组年龄、性别、教育程度、吸烟、饮酒人数、Hp感染状况、饮食、每日睡眠时间、体检季节比较,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,受教育程度是胃溃疡的保护因素,年龄、男性、吸烟、饮酒、饮食不规律、日睡眠时间<8 h、Hp阳性、冬春季节是发生胃溃疡的风险因素(P<0.05)。结论9125名体检者胃溃疡检出率较低,受教育程度高是胃溃疡发生的保护因素,年龄增加、男性、吸烟/饮酒、Hp阳性,饮食不规律、日睡眠时间<8 h、冬春季节均是增加胃溃疡发生风险的独立影响因素。

Objective To investigate the detection of gastric ulcer and its influencing factors in medical examiners.Methods The physical examination data of 9125 medical examiners from January to December 2018 in our hospital health management center were collected.According to the results of gastroscopy and/or pathological examination,the physical examination was divided into 519 cases of gastric ulcer group and 8606 cases of non-ulcer group.General data(age,gender,education level,BMI,smoking,alcohol consumption,Hp infection status,diet,daily sleep time,physical examination season)were analyzed.Logistic regression model was used to analyze the influencing factors of gastric ulcer.Results A total of 9125 physical examination patients,the detection rate of gastric ulcer was 5.69%.Univariate analysis showed that the differences in age,gender,education level,smoking,alcohol consumption,Hp infection status,diet,daily sleep time,and physical examination season were statistically significant(P<0.05);multivariate logistic regression the results of the analysis showed that the education level was the protective factor of gastric ulcer.Age,male,smoking,drinking,irregular diet,daily sleep time<8 h,Hp positive,winter and spring were risk factors for gastric ulcer(P<0.05).Conclusion The detection rate of gastric ulcer in 9125 physical examination patients is low.The high education level is the protective factor for gastric ulcer.The age is increased,male,smoking/drinking,Hp positive,irregular diet,daily sleep time<8 h,winter and spring.Seasons are independent factors that increase the risk of gastric ulcer.