摘要
目的探究大肠息肉与代谢综合征的关系。方法选取2019年1月1日至2022年6月30日在安徽医科大学附属巢湖医院消化内科住院的154例结肠镜下息肉切除患者作为研究组,选取同期进行结肠镜检查的40例正常体检者为对照组。比较两组血脂水平、空腹血糖水平、体重指数及血压的差异。结果研究组患者发生代谢综合征和高脂血症的比例分别为45.50%、59.74%,均高于对照组(分别为22.50%、40.00%),空腹血糖水平、甘油三酯水平、收缩压及舒张压亦均高于对照组,差异有显著性(P<0.05)。多因素logistic回归分析显示,甘油三酯和舒张压与大肠息肉的发生独立相关,回归系数分别为0.85、0.07,OR值分别为2.34、1.08。结论代谢综合征可作为大肠息肉的影响因素,甘油三酯水平升高及血压升高与大肠息肉的发生独立相关。
Objective To explore the relationship between colorectal polyps and metabolic syndrome.Method 154 patients with polypectomy under colon scopy who were hospitalized in the Department of Gastroenterology,Chaohu Hosptial affiliated to Anhui Medical University from January 1,2019 to June 30,2022 were selected as the research group,and 40 normal people who underwent colons copy during the same period were selected as the control group.The blood lipid level(fasting blood-glucose,FBG)level,body mass index(BMI)and blood pressure were compared between the two groups.Result The metabolic syndrome(metabolic syndrome,MS)45.50%was higher than that of the control group 22.50%.The hyperlipidemia rate in the study group was 59.74%higher than that in the control group 40.00%(P<0.05).The levels of FBG,TG,systolic blood pressure and diastolic blood pressure were higher than those in the control group(P<0.05).Regression Analysis showed that TG and diastolic blood pressure were related to the occurrence of colorectal polyps.The regression coefficients were 0.85,0.07,and the OR value were 2.34,1.08.Conclusion Metabolic syndrome can be used as an influencing factor of colorectal polyps.Increased triglyceride and increased blood pressure were independently associated with the development of large intestine polyps.
作者
方文慧
豆正莉
郑可佳
徐松
Fang Wenhui;Dou Zhengli;Zheng Kejia;Xu Song(Department of Gastroenterology,Chaohu Clinical Medical College,Anhui Medical University,Chaohu Hospital Affiliated to Anhui Medical University,Anhui Chaohu 238000,China)
出处
《中国医刊》
CAS
2023年第8期836-839,共4页
Chinese Journal of Medicine
关键词
大肠息肉
代谢综合征
高脂血症
Large intestine polyp
Metabolic syndrome
Hyperlipemia
