南宁市健康体检老年人胆石症患病情况调查及其与性别和年龄关系的分析

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2 257名（男1 294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。

The prevalence rate of cholelithiasis and its relationship with gender and age in the elderly of health examination population in Nanning

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 79 years,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 prevalence 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 population 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.