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目的了解新疆温宿县成年人胆囊结石的发病情况。方法 2003年7月至2004年7月对多级抽样的18岁以上3199名温宿县居民作空腹胆囊超声检查及问卷调查。统计分析采用SPSS11.5软件包,卡方检验,多因素分析采用 Logistic 逐步回归。结果 2.4%已行胆囊切除术;温宿县成年人胆囊结石的患病率为13.2%(男性为6.6%,女性为16.6%),其中无症状者占70.9%(292/412);胆囊结石患病率随年龄的增加而升高,40岁以后高发;维吾尔族(13.7%)和其他少数民族(12.6%)均显著高于汉族(3.8%)(P<0.001),每日肉食摄入量>100 g 者(16.4%)高于肉食摄入<50g 者(14.4%),喜欢油腻食物者(15.6%)显著高于不喜欢油腻食物者(9.6%),脑力劳动者(13.4%)高于体力劳动者(11.8%),睡眠时间不足8小时者(16.2%)高于超过8小时者(11.6%),肥胖指数>25者胆囊结石患病率20.9%,高于肥胖指数为23～25者(15.8%)和<23者(10.0%)。结论新疆温宿县成年人胆囊结石患病率较高,多因素分析显示胆囊结石发病率与性别、年龄、民族、饮食结构、营养状况、工作性质、睡眠时间、肥胖指数等相关。
Objective To understand the incidence of gallbladder stones in adults in Wensu County, Xinjiang Uygur Autonomous Region. Methods From July 2003 to July 2004, the multi-stage sampling of 3199 Wensu County residents over the age of 18 residents for the diagnosis of abdominal gallbladder ultrasound and questionnaire survey. Statistical analysis using SPSS11.5 software package, Chi-square test, multivariate analysis using Logistic stepwise regression. Results The prevalence of cholecystolithiasis in adults was 13.2% (6.6% in males and 16.6% in females), of which 70.9% (292/412) were asymptomatic. The incidence of gallstone The prevalence increased with age and was high after the age of 40 years. Uighur (13.7%) and other minorities (12.6%) were significantly higher than Han (3.8%) (P <0.001) (16.4%) were higher than those who consumed less than 50g of meat (14.4%), those who like oily foods (15.6%) were significantly higher than those who did not like greasy food (9.6%), mental workers (13.4% (11.8%) than those who slept for less than 8 hours (16.2%) than those who had more than 8 hours (11.6%). The prevalence of gallstone was 20.9%, which was higher than the obesity index of 23 ~ 25 (15.8%) and <23 (10.0%). Conclusion The prevalence of gallbladder stones in adults is higher in Wensu County, Xinjiang. Multivariate analysis showed that the incidence of gallstones was related to gender, age, ethnicity, diet, nutritional status, nature of work, sleep time, and obesity index.