| 赵树巧,牛学敏,石 蕾,杨宪武,薛 辉,张晓博,张新元.石家庄地区大肠息肉流行病学特征调查及影响因素分析[J].,2021,(21):4137-4141 |
| 石家庄地区大肠息肉流行病学特征调查及影响因素分析 |
| Epidemiological Characteristics and Influencing Factors of Colorectal Polyps in Shijiazhuang |
| 投稿时间：2021-04-02 修订日期：2021-04-26 |
| DOI：10.13241/j.cnki.pmb.2021.21.029 |
| 中文关键词: 石家庄 大肠息肉 流行病学 影响因素 发病率 调查 |
| 英文关键词: Shijiazhuang Colorectal polyp Epidemiological Influencing factors Incidence rate Survey |
| 基金项目:河北省医学科学研究重点计划项目（2018760）；河北省石家庄市科学技术研究与发展计划项目（171462163） |
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| 中文摘要: |
| 摘要 目的：调查分析石家庄地区大肠息肉流行病学特征及发病影响因素。方法：选取2015年1月~2020年1月期间来我院进行结肠镜检查的石家庄地区人群2630例作为调查研究对象，检查期间发放大肠息肉调查问卷，对研究对象的大肠息肉检出情况、流行病学特征进行统计分析，并根据人群的大肠息肉检测结果分为息肉组和对照组，对两组的临床资料进行统计对比，采用单因素和多因素Logistic回归分析大肠息肉发生的影响因素。结果：共回收2611份有效问卷，有效率为99.28%，其中大肠息肉患者共有300例，大肠息肉发生率为11.49%。经流行病学调查显示，300例大肠息肉患者中以男性居多，年龄以＞60岁为主，息肉高发部位主要为直肠和乙状结肠，病理类型主要为腺瘤型，息肉大小以≤5 cm为主。单因素分析显示，息肉组和对照组在年龄、性别、体质量指数(BMI)、吸烟史、高脂血症病史、高脂饮食方面对比有显著性差异(P<0.05)。经多因素分析显示，年龄＞60岁、男性、BMI≥25 kg/m2、吸烟史、高脂血症病史、高脂饮食均为大肠息肉发生的危险因素(P<0.05)。结论：石家庄地区大肠息肉具有较高的发病率，其流行病学与患者性别、年龄、息肉部位、病理类型及息肉大小相关。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and analyze the epidemiological characteristics and influencing factors of colorectal polyps in Shijiazhuang. Methods: 2630 people from Shijiazhuang area who came to our hospital for colonoscopy from January 2015 to January 2020 were selected as the research objects, questionnaire for colorectal polyps was issued during the examination, the detection of colorectal polyps, epidemiological characteristics of the research objects were statistical analyzed, they were divided into polyp group and control group according to the detection results of colorectal polyps in the population, the clinical data of the two groups were statistical analyzed, the single factor and multiple factor Logistic regression were used to analyze the influencing factors of colorectal polyp. Results: A total of 2611 valid questionnaires were collected, and the effective rate was 99.28%, there were 300 patients with colorectal polyps, and the incidence of colorectal polyps was 11.49%. According to the epidemiological survey, the majority of the 300 cases of colorectal polyps were males, whose ages were mainly＞60, the high incidence of polyps were mainly in rectum and sigmoid colon, the most common pathological types were adenoma type, and the sizes of polyps were mainly≤5 cm. Single factor analysis shows that, there were significant differences in age, gender, body mass index (BMI), smoking history, history of hyperlipidemia and high-fat diet between polyp group and control group(P<0.05). The logistic regression analysis showed that, the risk factors of colorectal polyps were age > 60, males, BMI≥25 kg/m2, smoking history, history of hyperlipidemia and high-fat diet(P<0.05). Conclusion: Colorectal polyps in Shijiazhuang have a high incidence rate, and the epidemiology is related to gender, age, polyp location, pathological type and polyp size. |
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