CAJ | 학술논문

目的调查南宁市健康体检老年人胆石症患病情况及其与性别、年龄的关系，为临床诊治策略的制定提供依据。方法统计2011年全年在广西壮族自治区人民医院健康体检中心进行健康体检的本市60岁及以上老年人2257名（男1294名，女963名）的胆石症患病率，按年龄分为三组：A组60～69岁，B组70～79岁，C组≥80岁，采用SPSS for windows 17.0统计学软件对数据进行分析。结果（1）该组老年人群中胆石症总的患病率为12.5％，除肝内胆管结石和胆总管结石各1例外，其余全部为胆囊结石。（2）男性和女性胆石症患病率分别为8.2％和18.2％，女性胆石症患病率显著高于男性，差异有统计学意义（P＜0.01）。女性各年龄组胆石症患病率均高于同年龄组男性，差异有统计学意义（P＜0.01）；女性各年龄组间胆石症患病率比较差异有统计学意义（P＜0.05），女性胆石症患病率随年龄增长而升高，80～93岁组患病率最高。男性各年龄组间胆石症患病率差异无统计学意义（P＞0.05）。结论南宁市健康体检老年人胆石症以胆囊结石为主，胆管结石所占比例小。女性老年人胆石症患病率显著高于男性，女性老年人胆石症患病率随年龄增长而升高。
목적조사남저시건강체검노년인담석증환병정황급기여성별、년령적관계，위림상진치책략적제정제공의거。방법통계2011년전년재엄서장족자치구인민의원건강체검중심진행건강체검적본시60세급이상노년인2257명（남1294명，녀963명）적담석증환병솔，안년령분위삼조：A조60～69세，B조70～79세，C조≥80세，채용SPSS for windows 17.0통계학연건대수거진행분석。결과（1）해조노년인군중담석증총적환병솔위12.5％，제간내담관결석화담총관결석각1예외，기여전부위담낭결석。（2）남성화녀성담석증환병솔분별위8.2％화18.2％，녀성담석증환병솔현저고우남성，차이유통계학의의（P＜0.01）。녀성각년령조담석증환병솔균고우동년령조남성，차이유통계학의의（P＜0.01）；녀성각년령조간담석증환병솔비교차이유통계학의의（P＜0.05），녀성담석증환병솔수년령증장이승고，80～93세조환병솔최고。남성각년령조간담석증환병솔차이무통계학의의（P＞0.05）。결론남저시건강체검노년인담석증이담낭결석위주，담관결석소점비례소。녀성노년인담석증환병솔현저고우남성，녀성노년인담석증환병솔수년령증장이승고。
Objective To investigate the prevalence rate of cholelithiasis and its relationship with gender and age in the elderly of health examination population in Nanning .Methods The prevalence rate of cholelithiasis of 2 257 cases in 2011,ranging from 60 to 93 years old,were investigated.According to the age, the cases were divided to 3 groups:group A:the age from 60 to 69 years,group B:the age from 70 to 79years,group C:the age≥80 years, The data was analysed by SPSS17.0.Results The total prevalence rate of cholelithiasis was 12.5%, and all patients suffered from gallbladder stones except 2 cases with bile duct stone.In both of the total and each group , female prev-alence rate of cholelithiasis was significantly higher than male ′s(P<0.01).Female prevalence rate of cholelithiasis was increased with age(P<0.05),and the 80~93 age group was the highest. Male prevalence rate of cholelithiasis was not related with age(P>0.05).Conclusion Most of the cholelithiasis in the elderly of health examination pop-ulation in Nanning are gallbladder stones , and the proportion of bile duct stones is very low .Female prevalence rate of cholelithiasis was significantly higher than male′s.Female prevalence rate of cholelithiasis was increased with age .