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结直肠息肉发病的影响因素分析OA

Analysis of the influencing factors of colorectal polyps occurrence

中文摘要英文摘要

目的 探讨结直肠息肉发病的影响因素.方法 选取赣南医科大学第二附属医院2018年1月至2024年12月符合条件的150例完成结肠镜检查或结直肠息肉内镜下切除的受检者,以其中50例结直肠息肉患者为研究组,100名健康体检者为对照组,收集两组研究对象一般资料,对患者进行体格检查、生物样品检测,采用食物频率问卷法(FFQ)计算两组中国健康膳食指数(CHEI),对两组患者进行单因素分析与多变量logistic回归分析.结果 单因素分析结果提示,两组的年龄、性别、体重指数(BMI)、职业(轻体力劳动、重体力劳动)、吸烟、饮酒、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(LDL-C)、CHEI比较,差异有统计学意义(P<0.05);多因素分析结果提示,年龄、性别、BMI、吸烟、饮酒、TG、HDL-C、CHEI是结直肠息肉发生的影响因素(P<0.05).结论 年龄、性别、BMI、吸烟、饮酒、TG是结直肠息肉发生的独立危险因素,HDL-C、CHEI指数高是结直肠息肉发生的保护因素,可对相关患者进行重点预防干预.

Objective To explore the influencing factors of colorectal polyps occurrence.Methods A total of 150 patients who met the criteria and underwent colonoscopy or endoscopic resection of colorectal polyps at the Second Affiliated Hospital of Gan Nan Medical University from January 2018 to December 2024 were selected.Among them,50 patients with colorectal polyps were assigned to the study group,and 100 healthy individuals undergoing physical examinations were assigned to the control group.General information of the two groups of subjects was collected.Physical examinations and bi-ological sample tests were conducted for the patients.The Chinese healthy eating index(CHEI)of the two groups was calculated using the food frequency questionnaire method.Univariate analysis and multivariate logistic regression analysis were performed on the two groups of patients.Results The results of univariate analysis indicated that there were statistically significant differences in age,gender,body mass index(BMI),occupation(light physical labor,heavy physical labor),smok-ing,drinking,triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),CHEI index between the two groups(P<0.05).The results of multivariate analysis indicated that age,gender,BMI,smoking,drinking,TG,HDL-C,CHEI index were the influencing factors for the occurrence of colorectal polyps(P<0.05).Conclusion Age,gender,BMI,smoking,drinking,TG are independent risk factors for the occurrence of colorectal polyps,while HDL-C,CHEI index are protective factors for the occurrence of colorectal polyps.Relevant patients can be given key prevention and intervention.

赖世军;罗红;刘建兰;曹小东;周强

赣南医科大学第二附属医院消化内科,江西赣州 341600赣南医科大学第二附属医院消化内科,江西赣州 341600赣南医科大学第二附属医院消化内科,江西赣州 341600赣南医科大学第二附属医院消化内科,江西赣州 341600赣南医科大学第二附属医院消化内科,江西赣州 341600

医药卫生

中国健康膳食指数肠道息肉影响因素多因素分析

Chinese healthy eating indexIntestinal polypsInfluencing factorsMultivariate analysis

《中国当代医药》 2026 (14)

31-34,4

江西省卫生健康委科技计划项目(202410902).

10.3969/j.issn.1674-4721.2026.14.07

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