大肠息肉发病相关风险因素及方法学研究  

Risk factors and methodological study on the incidence of colorectal polyps

作　　者：叶倩云[1] 刘凤斌[2] 

机构地区：[1]广州中医药大学第一临床医学院,广州510405 [2]广州中医药大学第一附属医院脾胃病科,广州510405

出　　处：《中华中医药杂志》2018年第3期1100-1103,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：岭南中医邓氏学术流派传承工作室(No.2015LP01);广东省高水平大学建设项目;广州中医药大学中医学[No.中医研生(2015)34号]~~

摘　　要：息肉-腺瘤-癌序贯演变的过程得到公认,将防线前移,早期进行干预切除,扭转癌变进程尤为重要。结肠镜作为普查手段推广,很难被大众接受。因此,依据风险因素寻找发病的高危人群,具有重大意义。目前认为年老、男性、肥胖是肠息肉的高危因素;人种、民族影响了肠息肉的发病率及病理类型;吸烟、饮酒、高脂饮食增加肠息肉患病风险,纤维素摄入、体育锻炼则是保护性因素;代谢综合征、肝胆疾病、胃十二指肠息肉、幽门螺杆菌感染与大肠息肉密切相关。The sequence of polyp-adenoma-cancer is well known. Putting the line of defense forward, taking action at the beginning and reversing the process of cancer is extraordinarily important. However, colonoscopy is not suitable as a census method. So identifying the high-risk groups according to the risk factors is meaningful. At present, old age, male and obesity are certain to be high-risk factors for intestinal polyps. Race and ethnicity affect the morbidity and pathological types of intestinal polyps. Tobacco, alcohol and high-fat diet improve the risk of intestinal polyps while fiber and exercise are protective factors. Metabolic syndrome, hepatobiliary diseases, gastric and duodenal polyps and Hp infection are associated with intestinal polyps.

关 键 词：大肠息肉 腺瘤 风险因素 高危人群 

分 类 号：R735.34[医药卫生—肿瘤]