摘要
目的:探讨肛周脓肿患者临床特点及其可能的发病危险因素。方法:选取2015年9月至2020年9月,本院收治的243例肛周脓肿患者为观察组,同期243名健康体检者为对照组。对临床发病特点和发病危险因素进行统计分析。结果:243例肛周脓肿患者中,男性占89.30%,女性占10.70%;21~40岁发病率最高(占51.45%),各年龄段及四季肛周脓肿发病率比较差异具有统计学意义(P<0.05);合并症包括糖尿病57例(23.46%)、高血压39例(16.05%)、消化道溃疡37例(15.23%)、恶性肿瘤15例(6.17%)和冠心病9例(3.70%),单因素分析显示,吸烟、饮酒、超重、便秘、糖尿病及恶性肿瘤是肛周脓肿发生的危险因素(P<0.05);多因素分析显示,恶性肿瘤是肛周脓肿发生的独立危险因素(P<0.05)。结论:肛周脓肿患者中男性明显多于女性,其高发年龄段为21~40岁,其发病具有明显的季节性,常合并多种基础疾病,并存在着多种危险因素,应对不同特征人群予以积极干预,预防或减少肛周脓肿的发生。
Objective To investigate the clinical characteritics of perianal abscess(PA),and analyse their risk factors.Methods Enrolled 243 PA patients treated in author’s hospital(2015-09-2020-09)as research subjects(i.e,observation group),at the same time,243 physical examinees as control group.Then,analsed their clinical onset characteritics,and relevant risk factors.Results In the 243 cases,male:female was 89.30%:10.70%,in whom aged 21-40 yr.patients’morbidity was highest(51.45%),and between different age’s patients,as well as seasous in morbidity there was statistical difference(P<0.05).And,including associated DM of 57 cases(23.46%),hypertension of 39(16.05%),alimentary ulcer of 37(15.23%),malignant tumor of 15(6.17%),and coronary heart disease of 9(3.70%).Monovariate analysis showed smoking,drink(wine or liquor),overweight,constipation,DM,and malignant tumor were the risk factors of PA happening(P<0.05).Multi-variate analysis showed malignant tumor was the independent risk factor(P<0.05).Conclusion There is significantly more male than female,their age-group with high incidence are at 21-40 yr.,and the incidence has significant seasonal features,as well as existing many risk factors,Therefore,it should be to pay active intervention on the population existing above features,so as to prevent and reduce PA incidence.
作者
李卫平
朱文浪
王鼐超
雷庆军
LI Wei-ping;ZHU Wen-lang;WANG Nai-chao;LEI Qing-jun(Taicang Affiliated Hospital of Soochow University/The First People’s Hospital of Taicang City,Taicang,Jiangsu 215400)
出处
《中国肛肠病杂志》
2022年第12期15-17,共3页
Chinese Journal of Coloproctology
关键词
肛周脓肿
临床特征
危险因素
Perianal abscess
Clinical characteristics
Risk factor
