宜昌市夷陵区农村居民胆石症流行状况及影响因素分析  

The study of prevalence and risk factors of gallstone disease in rural residents of Yiling district in Yichang city

作　　者：高志强 张蕃[2] 田祎[2] 屈克义 屈亚莉 

机构地区：[1]宜昌市夷陵医院肝胆外科,湖北省宜昌443100 [2]华中科技大学同济医学院公共卫生学院 [3]武汉医疗救治中心功能科

出　　处：《中国慢性病预防与控制》2013年第1期30-33,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解宜昌市夷陵区农村居民胆石症的患病情况及影响因素，为胆石症的防治提供科学依据。方法采用分层整群抽样的方法，于2008年2月对9871名35岁以上宜昌市夷陵区的农村居民进行问卷调查、体格检查和实验室检查。结果胆石症患者共1134人，患病率为11．52％，年龄标化患病率为11．55％。其中男性年龄标化率为9．90％，女性年龄标化率为12．86％，女性患病率明显高于男性，差异有统计学意义（P〈0．01）。移民和非移民的胆石症患病率分别为10．67％和11．73％，差异无统计学意义（P〉0．05）。多因素logistic回归分析结果显示，胆石症的影响因素有女性（OR=1．291，95％CI：1．131．1．475）、年龄（OR=I．772，95％CI：1．436～2．185）、每周食用乳制品5-7d（OR=I．603，95％CI：1．198—2．145）、炒菜全用猪油（OR=I．656，95％CI：1．005～2．728）、糖尿病（OR=I．487，95％CI：1．103—2．005）、肥胖（OR=I．501，95％CI：1．183～1．905）。结论宜昌市夷陵区农村居民的胆石症患病率较高，性别、年龄、乳制品、猪油、糖尿病和肥胖是胆石症的主要影响因素。Objective To analysis the prevalence and risk factors of gallstone disease （GD） among rural residents of YiLing district in Yichang city and to compare the morbidity difference between migrants and non-migrants. Methods The stratified cluster sampling method was used to perform the present investigation for 9 781 rural residents （older than 35 years） in Yiling district of Yichang city with questionnaire, physical examination and laboratory tests in February 2008. Results There were 1 134 subjects with GD. The morbidity of GD was 11.52 % and the age-adjusted morbidity was 11.55%. The age-adjusted morbidity of males was 9.90 %, which was significantly lower than that （ 12.86% ） of females （P〈0.01）. The morbidities of GD in migrants and non- migrants were 10.67% and 11.73 %, respectively. There was no significant difference. The multivariate logistic regression analysis showed that the risk factors related to GD were sex （female, OR=1.291,95% CI： 1.131-1.475）, age （OR= 1.772,95% CI： 1.436-2.185）, dairy products （OR=1.603,95% CI： 1.198-2.145）, lard （OR=1.656,95% CI： 1.005-2.728）, diabetes（ OR= 1.487,95% CI： 1.103-2.005 ） and obesity（ OR=-1.501,95% CI： 1.183-1.905 ）. Conclusion The prevalence of GD in rural residents of Yiling district is higher. Sex, age, dairy products, lard, diabetes and obesity are the main risk factors for GD.

关 键 词：胆石症 农村 移民 影响因素 

分 类 号：R575.62[医药卫生—消化系统]