胃息肉临床特点及相关危险因素分析
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河南省教育厅课题(18A320067)


Analysis of clinical characteristics and related risk factors of gastric polyps
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    【摘要】目的 分析胃息肉的临床特点及相关危险因素,为胃息肉的预防和诊治提供依据。方法 选取2014年1月~2019年12月于郑州大学第二附属医院住院行胃镜检查的患者15312例,其中胃镜下发现胃息肉的患者1424例(胃息肉组),无胃息肉患者13888例(无息肉组)。搜集两组患者相关临床资料,分析胃息肉的临床特点及相关危险因素。结果 住院行胃镜检查胃息肉的检出率约为9.3%,年龄以40~60岁女性多见。胃息肉以单发性息肉居多,常见病理类型依次为胃底腺息肉、增生性息肉、炎症性息肉、腺瘤性息肉。胃息肉的直径常<5 mm,多位于胃底及胃体。两组在性别、年龄、是否合并高脂血症、高血压、糖尿病、胃黏膜萎缩、有无吸烟、饮酒方面比较差异具有统计学意义(P<005),在有无Hp感染方面比较差异无统计学意义(P>005)。logistic逐步回归结果显示,胃息肉相关危险因素为女性、吸烟、饮酒、胃黏膜萎缩、糖尿病、高龄( OR>1)。结论 胃息肉多发于40岁以上人群,女性多见,病理类型以胃底腺息肉居多,单发较常见,直径常<5 mm,其发病风险随年龄的增长而增长,建议年龄大于40岁的高危人群常规行胃镜检查。

    Abstract:

    【Abstract】Objective The clinical characteristics and related risk factors of gastric polyps were analyzed to provide basis for the prevention, diagnosis and treatment of gastric polyps.Methods 15,312 patients admitted to the Second Affiliated Hospital of Zhengzhou University from January 2014 to December 2019 were selected, including 1,424 patients with gastric polyps found under gastroscopy and 13,888 patients without gastric polyps. Relevant clinical data of the two groups of patients were collected to analyze the clinical characteristics and related risk factors of gastric polyps.Results The detection rate of gastric polyps by gastroscopy in hospital was about 9.3%, which was more common in women aged 4060 years. Most gastric polyps are single polyps, and the common pathological types are gastric fundus polyps, hyperplastic polyps, inflammatory polyps and adenomatous polyps in turn. The diameter of gastric polyps is usually <5mm, mostly located in the gastric fundus and gastric body. There were differences in gender, age, hyperlipidemia, hypertension, diabetes, gastric mucosa atrophy, smoking and alcohol consumption between the gastric polyp group and the nonpolyp group (P<005), and no significant differences in the presence or absence of Hp infection (P>005). Stepwise logistic regression analysis showed that the risk factors related to gastric polyps were female, smoking, alcohol consumption, gastric mucosal atrophy, diabetes, and advanced age (OR>1).Conclusion Gastric polyps are more common in people over 40 years old, and are more common in women. The pathological type is gastric fundus polyps, which are more common in single occurrence and with normal diameter <5 mm. The risk of gastric polyps increases with age, and routine gastroscopy is recommended for highrisk groups older than 40 years.

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  • 在线发布日期: 2021-08-16
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