肥胖相关指标与结直肠息肉发病关系的探讨  

Study on the relationship between obesity-related indexes and pathogenesis of colorectal polyps

作　　者：崔莲[1] 马建新[1] 刘丽丽[1] 张蓉[1] 王光辉[1] 霍文静[1] 郝淑芳[1] 方玮[1] 张金萍[2] 

机构地区：[1]解放军第305医院干部病房,北京100017 [2]解放军第305医院医务部,北京100017

出　　处：《东南国防医药》2017年第4期345-347,共3页Military Medical Journal of Southeast China

基　　金：总参“十二五”医药卫生基金项目(ZCWS14C26)

摘　　要：目的分析肥胖相关指标与结直肠息肉检出率之间的关系。方法回顾性分析2013年4月至2016年12月解放军第305医院干部病房住院的男性无症状体检者中同时完成结肠镜及人体成分分析者166例临床资料,分析体重指数、内脏脂肪面积、体脂肪率等指标对结直肠息肉发病的影响。结果 166例男性体检者,检出结直肠息肉72例(43.4%),腺瘤38例(22.9%)。多因素logistic回归分析显示,内脏型肥胖者发生结直肠息肉的概率较内在脂肪面积正常者更高[OR为3.20,95%CI为1.18~8.69],差异有统计学意义(P<0.05)。结论内脏脂肪面积与结直肠息肉发病的相关提示内脏型肥胖患者更容易患结直肠息肉。Objective Analysis the relationship between different obesity-related indexes and detection rate of colorectal polyps. Methods There were 166 patients who completed eolonoscopy and body composition from the patients with asymptomatic health examination from April 2013 to December 2016 hospitalized in our hospital, and retrospective analysis the influence between their body mass index, visceral fat area, body fat percentage and the incidence of eoloreetal polyps. Results 166 cases of male health examination, 72 eases of eolorectal polyps were detected （43.4%） ,and 38 cases adenoma （22.9%）. Multivariate logistic regression analysis showed that those with higher odds ratio of colorectal polyps were among visceral fat area exceeded standard （0R：3.20, 95% CI：1. 18- 8.70）. Conclusion The visceral fat area is more relevant to the pathogenesis of colorectal polyps in different obesity-related indexes.

关 键 词：肥胖相关指标 结直肠息肉 内脏脂肪面积 

分 类 号：R735.3[医药卫生—肿瘤]