目的 通过对九江地区成人胆石病流行病学调查,探讨相关危险因素,为预防及治疗胆石病提供流行病学依据.方法 对所有2013年3月至2013年9月在九江地区各县市医院体检中心符合纳入标准的被体检人员作为样本的随机抽样,共调查831例(其中男488例,女343例),对相关结果进行单因素与多因素非条件logistic回归分析.结果 确诊胆石病的病人共156 例,人群患病率为 18.77%,性别(OR=1.510,P=0.024)、年龄(OR=1.366,P<0.001)、胆石病家族史(OR=2.086,P=0.002)和胆囊炎史(OR=1.848,P=0.017)是胆石病的危险因素.结论 九江市胆石病患病率较高,主要的危险因素为年龄、性别、胆石病家族史及既往有胆囊炎病史.%Objective To investigate the epidemiology of adult cholelithiasis in Jiujiang area,to explore the related risk factors and to provide epidemiological evidence for prevention and treatment of cholelithiasis. Methods All patients in accordance with the inclusion criteria,from 2013 March to 2013 September by random sample in the medical examination center of Jiujiang county and urban hospitals,a total of 831 people,488 were males and 343 were females were investigated. The results were analyzed by single factor and multi factor non conditional logistic regression analysis. Results Diagnosis of cholelithiasis in patients with a to-tal of 156 cases,the prevalence rate of population was 18.77%(OR=1.510,P=0.024),gender,age (OR=1.366,P<0.001),family his-tory of gallstone disease (OR=2.086,P=0.002) and (OR=1.848,P=0.017) cholecystitis history were risk factors of cholelithiasis. Conclusions The prevalence of cholelithiasis in Jiujiang was high,the main risk factors were include age,gender,family history and history of cholecystitis.
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