摘要
目的:分析我国某健康体检人群中痔的分布特点,为痔的精准预防和早期干预提供依据。方法:选取2018年在某全国连锁的体检中心接受健康检查的18岁以上受试者作为研究对象,进行横断面调查研究,采用Logistic回归分析受试者的一般资料及直肠检查结果,描述痔的地区和人群分布特征。以2010年第6次人口普查作为标准人口,对年龄和地区进行直接标化,报告分为性别、年龄组的痔标化检出率。结果:共纳入2 940 295名健康体检者,平均年龄(41.7±14.0)岁,其中女性占52.6%。在全年龄组人群中,男、女性痔的标化检出率分别为17.7%和43.7%(P<0.001)。从年龄分布来看,女性痔标化检出率呈倒U型,30~39岁年龄组的痔标化检出率最高(63.5%);男性痔标化检出率随年龄增加,以50~59岁年龄组最高(17.2%),60岁及以上年龄组检出率略有降低(趋势检验P<0.001)。此外,男性痔标化检出率随体重指数升高呈上升趋势(趋势检验P<0.001),高血压人群痔标化检出率在男性和女性中均显著高于正常血压人群(P<0.001)。结论:我国成人痔检出率与性别、年龄、肥胖及高血压等因素密切相关,但本研究基于体检人群开展,结论外推到一般人群时需慎重;识别出痔患病的高危人群和危险因素,有针对性地开展健康宣教工作和早期筛查,可以减少痔的发生,提升我国居民生活质量和健康水平。
Objective:To describe the epidemiological distribution of hemorrhoids in a physical examination population in China,which could provide evidence for precision prevention and early intervention of hemorrhoids.Methods:Chinese subjects over 18 years of age who underwent a physical examination in a nationwide chain of physical examination centers in 2018 were studied in a cross-sectional design,which collected information by a questionnaire and physical examination results from each subject.The epidemiological distribution of hemorrhoids was described using Logistic models.The gender-,age-,and region-detection rates of hemorrhoids were standardized to the Sixth National Population Census of the People’s Republic of China(2010).Results:A total of 2940295 adult subjects were included in the study,of whom the average age was(41.7±14.0)years,and 52.6%were females.The standardized detection rate of hemorrhoids was higher for females(43.7%)than that for males(17.7%;P<0.001)in this study.In the females,the age distribution of hemorrhoids was inverted U-shaped,with the highest standardized detection rate of hemorrhoids in the age group of 30-39 years(63.5%).In the males,the standardized detection rate of hemorrhoids increased along with age,with the highest percentage of 17.2%in the age group of 50-59 years,and the standardized detection rate of hemorrhoids in the age group of 60 and above decreased slightly(P<0.001 for trend test).The participants with hypertension had a higher standardized detection rate of hemorrhoids than those with normal blood pressure in both males and females(P<0.001).The standardized detection rate of hemorrhoids showed a positive correlation with body mass index(P<0.001 for trend test in males).Conclusion:The detection rate of hemorrhoids varied to gender,age,obesity,and hypertension status,which could help to identify the risk factors and the high-risk sub-groups,and hence to strengthen health education and early detection accordingly,which could eventually reduce the incidence of hemorrhoids a
作者
郭呈华
车晓玉
林芝
蔡珊
刘国臻
潘烺
吕筠
李立明
满塞丽麦
王波
余灿清
GUO Chenghua;CHE Xiaoyu;LIN Zhi;CAI Shan;LIU Guozhen;PAN Lang;LV Jun;LI Liming;MAN Sailimai;WANG Bo;YU Canqing(Department of Epidemiology and Biostatistics,Peking University School of Public Health,Beijing 100191,China;Beijing Institute of Big Data Research&PKU Healthcare IT Company Big Data Laboratory,Beijing 100080,China;Peking University Center for Public Health and Epidemic Preparedness Response,Beijing 100191,China;Key Laboratory of Epidemiology of Major Diseases(Peking University),Ministry of Education,Beijing 100191,China;Mei-nian Public Health Research Institute,Peking University Health Science Center,Beijing 100191,China)
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2024年第5期815-819,共5页
Journal of Peking University:Health Sciences
基金
2020年北京大学公共卫生学院医学部大学生创新实验项目。
关键词
痔
健康检查
检出率
Hemorrhoid
Physical examination
Detection rate
