文章摘要
刘雷 张新 王瑞峰 凌霄华 庄丽维△.结直肠息肉与血脂水平的相关性研究[J].,2016,16(25):4979-4983
结直肠息肉与血脂水平的相关性研究
A Study on the Relationship between Colorectal Polyps and Blood LipidLevels
  
DOI:
中文关键词: 结直肠息肉  高脂血症  风险
英文关键词: Colorectal polyps  Hyperlipemia  Risk
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作者单位
刘雷 张新 王瑞峰 凌霄华 庄丽维△ 哈尔滨医科大学附属第四医院消化内科 
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中文摘要:
      目的:探讨高脂血症与结直肠息肉的相关性,分析结直肠息肉发生的相关危险因素。方法:检测160 例结直肠息肉患者和 153例对照组患者血清总胆固醇(TC)、甘油三酯(TG)和低密度脂蛋白(LDL-C)的水平,分别比较结直肠息肉组与对照组、不同病理 类型息肉组间、不同部位的结直肠息肉组间、不同性别的结直肠息肉组间以及不同大小息肉组间患者的血脂水平。结果:结直肠 息肉组高脂血症发生率高于对照组,男性结直肠息肉组高脂血症发生率高于女性,差异均有统计学意义(P<0.05)。不同病理类型 息肉患者血清TC、TG 和LDL-C 水平比较差异均无统计学意义(P>0.05)。左半结肠+直肠息肉组高脂血症发生率高于右半结肠 组,体重超重者(BMI≥ 24 kg/m2)结肠息肉发生率较BMI正常者高,息肉大于1 cm患者高脂血症发生率高于息肉小于1 cm者,差 异有统计学意义(P<0.05)。结论:高脂血症、肥胖及男性是发生结直肠息肉的高危因素,而息肉大小、部位均与高脂血症的发生风 险密切有关。
英文摘要:
      Objective:To investigate the relationship between hyperlipidemia and colorectal polyps, and to analyze the risk factors associated with the occurrence of colorectal polyps. Methods:Thelevels of TG, TC and LDL-C of 160 patients with colorectal polyps and 153 controls were detected. The serum lipids between colorectal polyps group and control group, of colorectal polyps with different pathological type, of adenomatous polyps with different location, of colorectal polyps of different gender, and different size of polyps were compared.Results:The incidence of hyperlipidemia in colorectal polyps group was higher than that in the control group, The incidence of hyperlipidemia in male colorectal polyps group was higher than that in female, and the differences were both statistically significant( P<0.05). There were no significant differences in serum TC, TG and LDL-C between different pathological types of polyp group (P >0.05). The hyperlipidemia incidence of the left colon and rectum polyp group was higher than that of the right colon group. The incidence of colon polyps of overweight person (BMI ≥ 24 kg/m2) was higher than the normal high of BMI, and the incidence rate of greater than 1cm was significantly higher than that of less than 1 cm(P<0.05).Conclusion: Hyperlipidemia, obesity and male are high risk factors of colorectal polyps, and that the size and the location of polyps are closely related with the incidence of hyperlipidemia.
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