腺瘤型肠息肉发生的影响因素分析  

Analysis of influencing factors of adenomatous intestinal polyps

作　　者：方崇文 张焰平[1] 孙小明[1] 陈刚[1] 汪祺[1] FANG Chongwen;ZHANG Yanping;SUN Xiaoming;CHEN Gang;WANG Qi(Department of Gastroenterology,Anqing Municipal Hospital,Anhui Province,Anqing 246000,China)

机构地区：[1]安徽省安庆市立医院消化内科,安徽安庆246000

出　　处：《中国医药导报》2022年第13期104-106,共3页China Medical Herald

摘　　要：目的探讨腺瘤型肠息肉发生的危险因素。方法回顾性分析安徽省安庆市立医院2018年5月到2021年5月接诊的80例结直肠息肉患者资料,其中腺瘤型肠息肉组42例、非腺瘤型肠息肉组38例。比较两组体重指数(BMI)、吸烟、饮酒、血压、糖脂代谢表达情况,采用多因素logistic回归分析腺瘤型肠息肉发生的影响因素。结果两组BMI、舒张压、收缩压、空腹血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、血清谷丙转氨酶、碱性磷酸酶、谷草转氨酶比较,差异无统计学意义(P>0.05)。两组吸烟、饮酒比例比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,吸烟、饮酒是影响腺瘤型肠息肉发生的危险因素(OR>1,P<0.05)。结论吸烟、饮酒均是腺瘤型肠息肉发病的危险因素,临床上对于有此类高危因素的患者应予以重视。Objective To investigate the risk factors of adenomatous intestinal polyps. Methods The data of 80 patients with colorectal polyps admitted to Anqing Municipal Hospital in Anhui Province from May 2018 to May 2021 were retrospectively analyzed, including 42 cases of adenomatous intestinal polyps and 38 cases of non-adenomatous intestinal polyps. The body mass index(BMI), smoking, drinking, blood pressure, and glucose and lipid metabolism expressions were compared between the two groups, while multivariate logistic regression was used to analyze the influencing factors of adenomatous intestinal polyps. Results There were no significant differences in BMI, diastolic blood pressure,systolic blood pressure, fasting blood glucose, total cholesterol, triglyceride, low-density protein cholesterol, serum alanine aminotransferase, alkaline phosphatase, and aspartate aminotransferase between the two groups(P > 0.05). There were statistically significant differences in the proportion of smoking and drinking between the two groups(P < 0.05).The results of logistic regression analysis showed that smoking and drinking were the risk factors for the occurrence of adenomatous intestinal polyps(OR > 1, P < 0.05). Conclusion Smoking and drinking are risk factors of adenomatous intestinal polyps, and clinical attention should be paid to patients with such high-risk factors.

关 键 词：腺瘤型肠息肉 非腺瘤型肠息肉 糖脂代谢 肝功能 危险因素 

分 类 号：R574[医药卫生—消化系统]