饮食因素与急性胰腺炎关系的病例-对照研究  

A case-control study on the dietary factors of patients with acute pancreatitis

作　　者：赵秋玲[1] 黄承钰[1] 胡雯[2] 徐家玉[1] 陈月娇[1] 杨咏涛[3] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]四川大学华西附属第一医院营养科 [3]四川省人民医院营养科

出　　处：《卫生研究》2004年第2期167-172,共6页Journal of Hygiene Research

摘　　要：目的　采用病例 对照研究方法探讨多种饮食因素与急性胰腺炎的关系 ,为该病防治提供科学依据。方法　 2 0 0 3年 3～ 5月发病并在省级以上医院住院的急性胰腺炎病人 10 0例纳入病例组 ,按年龄、性别配比选择该院骨科病人 10 0例纳入对照 1组 ,从社区选择健康人10 0例纳入对照 2组 ,用统一的调查表以相同的询问方式和态度进行问卷调查。对获取的资料用条件logistic回归进行单因素和多因素分析。结果　患病近一年来少动 (OR =1 35 6 6 )、肥胖 (OR =3 16 0 0 )、进餐不规律 (OR =2 95 47)、饥饿后暴饮暴食 (OR =1 96 0 3)、常吃肉 (OR=1 9333)、炒菜用动物油 (OR =1 5 6 5 2 )、用油量大 (OR =2 14 5 2 ) ,患病前两天生气 (OR =4 0 84 5 )、大量饮白酒 (OR =2 4 778)、饥饿后暴饮暴食 (OR =2 3837)、大量吃肉 (OR =2 4 12 1)与急性胰腺炎呈正相关。近一年来主食量大 (OR =0 6 72 4 )、饮牛奶或酸奶的频率高 (OR =0 715 4)用量大 (OR =0 4 313)、常吃绿叶蔬菜 (OR =0 36 0 8)和海带 (OR =0 5 92 4 ) ,患病前两天吃了绿叶蔬菜 (OR =0 32 88)与急性胰腺炎呈负相关。Objective To explore association between dietary factor and acute pancreatitis (AP) so as to provide scientific basis for prevention of AP through healthful diet and life style. Methods 100 AP patients were recruited from No.1 Hospital affiliated to Sichuan University. Those participants in the control group 1 were from the same hospital, and those in the control group 2 were from a community. Controls were matched to cases for age (±2.5) and sex. All of them were interviewed with uniform questionnaires. Conditional logistic regression was used for univariate and multivariate analysis. Results The statistic analysis indicated that AP was significantly associated with less physical activity ( OR =1 3566), obesity( OR =3 1600), irregular eating ( OR =2 9547), engorgement after hunger ( OR =1 9603), oftentimes eating meat( OR =1 9333), high animal oil consumption( OR =1 5652). High rice and flour consumption ( OR =0 6724), Oftentimes drink milk ( OR =0 7154) and high milk consumption ( OR =0 4313), oftentimes eating laminavia lamx ( OR =0 5924) and green vegetable ( OR =0 3288) were inversely associated with AP. Conclusion The study suggests that dietary factors may play an important role in AP.

关 键 词：急性胰腺炎 饮食因素 条件LOGISTIC回归 病例一对照研究 

分 类 号：R155.1[医药卫生—营养与食品卫生学] R576[医药卫生—公共卫生与预防医学]