脾虚血瘀型结直肠腺瘤术后复发危险因素的Logistic回归分析  

Logistic Regression Analysis of Risk Factors For Postoperative Recurrence of Colorectal Adenoma with Spleen Deficiency and Blood Stasis Syndrome

作　　者：梁洁 闵沙 王一清 李彤 石啸双 LIANG Jie;MIN Sha;WANG Yiqing;LI Tong;SHI Xiaoshuang(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Qionglai Hospital of Traditional Chinese Medicine in Sichuan Province,Chengdu 611500,China;Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430000,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]四川省邛崃市中医医院,四川成都611500 [3]湖北省中医院,湖北武汉430000

出　　处：《山东中医杂志》2025年第1期61-65,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：北京中医药大学“211工程”项目(编号:2019-JYBJS-171)。

摘　　要：目的:基于Logistic回归分析探讨脾虚血瘀型结直肠腺瘤术后复发的危险因素。方法:将140例脾虚血瘀型结直肠腺瘤患者根据术后1年是否复发分为复发组(68例)与非复发组(72例),比较两组患者的基础信息、中医症状、术前腺瘤特征,并用Logistic回归模型分析脾虚血瘀型结直肠腺瘤术后复发的危险因素。结果:两组患者年龄、性别、腺瘤数量、最大腺瘤直径比较,差异均有统计学意义(P<0.05)。Logistic回归分析提示男性(OR=2.106)、年龄≥50岁(OR=2.090)、腺瘤数量≥3个(OR=2.318)和最大腺瘤直径≥10 mm(OR=2.508)为脾虚血瘀型结直肠腺瘤术后复发的危险因素(P<0.05)。结论:男性、年龄≥50岁、腺瘤数量≥3个和最大腺瘤直径≥10 mm的脾虚血瘀型结直肠腺瘤术后患者应在术后定期进行肠镜监测,预防复发。Objective:To explore the risk factors for postoperative recurrence of colorectal adenoma with spleen deficiency and blood stasis syndrome based on Logistic regression analysis.Methods:A total of 140 patients with colorectal adenoma and spleen deficiency and blood stasis syndrome were divided into a recurrence group(68 cases)and a non-recurrence group(72 cases)according to whether there was recurrence one year after the operation.The basic information,traditional Chinese medicine(TCM)symptom and preoperative adenoma characteristics of the two groups were compared,and the risk factors for post⁃operative recurrence of colorectal adenoma with spleen deficiency and blood stasis syndrome were analyzed by Logistic regression model.Results:There were significant differences in age,gender distribution,number of adenomas,and the diameter of the largest adenoma between the two groups(P<0.05).Logistic regression analysis indicated that male(OR=2.106),age≥50 years old(OR=2.090),the number of adenomas≥3(OR=2.318),and the diameter of the largest adenoma≥10 mm(OR=2.508)were risk factors for postoperative recurrence of colorectal adenoma with spleen deficiency and blood stasis syndrome(P<0.05).Conclusion:Postoperative male patients with colorectal adenoma and spleen deficiency and blood stasis syndrome,age≥50 years old,having 3 or more than 3 adenomas,and the diameter of the largest adenoma≥10 mm,should undergo regular colonoscopy monitoring to prevent recurrence.

关 键 词：脾虚血瘀 结直肠腺瘤 术后复发 危险因素 LOGISTIC回归分析 

分 类 号：R273[医药卫生—中西医结合]