CAJ | 학술논문

目的探讨影响胆石病临床流行病学的相关因素，为临床决策提供科学依据。方法收集遵义医学院附属医院2000年1月至2009年12月收治的经手术治疗的胆石病患者5136例病历资料，制定胆石病临床调查表进行逐项填写，经计算机整理后用SPSS 13.0软件包进行统计，并将统计结果进行比较分析。结果胆石病男女比例1∶1.78，高峰年龄为41岁～及51岁～两个阶段；胆囊结石(4456例，占86.76％)和肝外胆管结石(554例，占10.79％)构成比例均较国内为高。结论胆囊结石是遵义地区胆石病的重要临床类型，且发病趋于年轻化；性别、饮食、职业与该地区胆石病的临床发病密切相关。
목적 탐토영향담석병림상류행병학적상관인소，위림상결책제공과학의거。방법수집준의의학원부속의원2000년1월지2009년12월수치적경수술치료적담석병환자5136례병력자료，제정담석병림상조사표진행축항전사，경계산궤정리후용SPSS 13.0연건포진행통계，병장통계결과진행비교분석。결과담석병남녀비례1∶1.78，고봉년령위41세～급51세～량개계단；담낭결석(4456례，점86.76％)화간외담관결석(554례，점10.79％)구성비례균교국내위고。결론담낭결석시준의지구담석병적중요림상류형，차발병추우년경화；성별、음식、직업여해지구담석병적림상발병밀절상관。
Objective To find out the risk factors and the incidence of lithiasis. Methods A questionnaire was formulated by the National Biliary Surgical Group. It was sent to the medical staff of all levels of hospitals in the Zunyi Region, Guizhou to fill in on surgically proven cases of cholelithiasis. The clinical data were collected and analyzed using SPSS 13.0. Result For lithiasis, the gender ratio was 1∶ 1.78; the peak age was 41-year and 51-year respectively. The proportion of cholecystolithiasis (n =4456 ; 86.76 ％) and choledocholithiasis (n =554;10.79 ％ ) was comparatively higher than in other regions in China. Conclusions The commonest type of lithiasis in Zunyi was cholecystolithiasis. There was an increasing tendency for lithiasis to develop in young people. Lithiasis was closely associated with factors such as gender, food and occupation.