Analysis of risk factors and health management of polypoid lesions of gallbladder in civil aviation flight cadets_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 GUO Wanli ¹ , LIU Juan ¹ , PAN Yuan ² , FENG Min ² , XIE Yijin ²

1. Department of General Surgery, Civil Aviation Flight College Hospital of China, Deyang, Sichuan 618300, P. R. China;
2. Department of Ultrasound, Civil Aviation Flight College Hospital of China, Deyang, Sichuan 618300, P. R. China;

Corresponding?author：

GUO Wanli, Email: kangandyin@hotmail.com

Keywords：

civil aviation flight cadets; polypoid lesions of gallbladder; risk factor; health management

DOI：

10.7507/1007-9424.202407014

Video：

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Objective To explore the related risk factors of polypoid lesions of gallbladder (PLG) in civil aviation flight cadets and the health management measures for the risk factors. Methods Retrospective analysis of the 2022 flight annual medical students, according to the B ultrasound examination results have PLG, divided into PLG group (n=128) and non-PLG group (n=150), collect the basic data of the students, and establish a multivariate logistic regression equation model to analyze the related risk factors of gallbladder polypoid lesions. Results The results of univariate analysis showed that there was no significant difference between groups with hypertension, hyperlipidemia and hyperglycemia (P>0.05), but with age and body mass index, high total bilirubin in serum and hyperuricemia, regular schedule and diet, and sufficient exercise (P<0.05). The results of multivariate logistic regression equation model analysis showed that age, high serum total bilirubin, hyperuricemia, irregular sleep and rest, irregular diet and lack of exercise were independent risk factors for PLG. Conclusions Age, high serum total bilirubin, hyperuricemia, irregular work and rest, irregular diet and lack of exercise are the main reasons for PLG in civil aviation flight cadets. Intervention and prevention of risk factors can effectively ensure their health and flight safety.

Citation： GUO Wanli, LIU Juan, PAN Yuan, FENG Min, XIE Yijin. Analysis of risk factors and health management of polypoid lesions of gallbladder in civil aviation flight cadets. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(12): 1507-1511. doi: 10.7507/1007-9424.202407014 Copy

1.	于林娟. 彩色多普勒超聲診斷膽囊息肉樣病變的臨床價值研究. 影像研究與醫學應用, 2024, 8(6): 107-109.
2.	涂偉. 關于膽囊息肉樣病變的診療進展. 中國醫藥指南, 2020, 18(1): 11.
3.	李英荃. 結腸息肉內鏡手術治療方法的進展分析. 世界復合醫學, 2021, 7(7): 195-198.
4.	張立麗, 孫興華, 廖飛虎. 膽囊息肉樣病變影響因素研究及病例轉歸分析. 華南預防醫學, 2023, 49(7): 848-852.
5.	中國高血壓防治指南修訂委員會, 高血壓聯盟(中國) , 中華醫學會心血管病學分會, 等. 中國高血壓防治指南(2018年修訂版). 中國心血管雜志, 2019, 24(1): 24-56.
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9.	Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior. Br J Sports Med, 2020, 54(24): 1451-1462.
10.	Pickering O, Pucher PH, Toale C, et al. Prevalence and sonographic detection of gallbladder polyps in a Western European population. J Surg Res, 2020, 250(6): 226-231.
11.	胡海霞. 軍事飛行人員膽囊息肉患病現狀分析及思考. 中華保健醫學雜志, 2021, 23(6): 623-625.
12.	Lin SH, Wu KT, Chiu YC, et al. Risk factors for gallbladder polyps observed through second-look abdominal sonography in patients with fatty liver disease. Medicine (Baltimore), 2022, 101(30): e29643. doi: 10.1097/MD.0000000000029643.
13.	Yu Z, Yang C, Bai X, et al. Risk factors for cholesterol polyp formation in the gallbladder are closely related to lipid metabolism. Lipids Health Dis, 2021, 20(1): 26. doi: 10.1186/s12944-021-01452-6.
14.	Yamin Z, Xuesong B, Guibin Y, et al. Risk factors of gallbladder polyps formation in East Asian population: A meta-analysis and systematic review. Asian J Surg, 2020, 43(1): 52-59.
15.	王文嵐, 李婭. 不同地域兩個運輸機部隊空勤人員疾病譜調查、差異性分析及對策研究. 中國療養醫學, 2019, 28(4): 337-340.
16.	Han JW, Choi YH, Lee IS, et al. Gallbladder polyps growth rate is an independent risk factor for neoplastic polyps. United European Gastroenterol J, 2022, 10(7): 651-656.
17.	姚貴賓, 劉力瑋, 白雪松. 膽囊息肉的超聲觀察隨訪及其危險因素. 中華肝膽外科雜志, 2020, 26(8): 606-610.
18.	李巧巧, 鄧曉園, 劉瑤, 等. 中國大學生高尿酸血癥檢出率及影響因素的系統評價. 中國療養醫學, 2023, 32(5): 470-474.
19.	Yao G, Bai X, Yang C, et al. Analysis of risk factors for gallbladder polyp formation - A retrospective study based on serial ultrasounds. Eur J Gastroenterol Hepatol, 2020, 32(9): 1154-1159.
20.	González-Gómez S, Paez H, Karen CG. Risk factors and recommendations for follow-up of gallbladder polyps. AJR Am J Roentgenol, 2022, 219(6): 1005. doi: 10.2214/AJR.22.27959.
21.	蔣南, 金壯, 雷裕, 等. 某部官兵發生膽囊息肉樣變的影響因素分析. 武警醫學, 2021, 32(12): 1089-1090,1098.
22.	許艷, 王學霞, 韓春玲. 東營市成年居民膽囊息肉樣病變特征及影響因素分析. 華南預防醫學, 2023, 49(10): 1224-1228.
23.	王剛剛, 沈曉偉, 張鑫, 等. 膽囊息肉樣病變相關危險因素分析. 沈陽醫學院學報, 2022, 24(5): 470-473.
24.	劉玉青. 健康體檢中彩超檢查膽囊息肉樣病變發生情況及相關因素分析. 影像研究與醫學應用, 2023, 7(9): 150-152.
25.	中華人民共和國國家衛生健康委員會. 成人高脂血癥食養指南(2023年版). 全科醫學臨床與教育, 2023, 21(7): 581-583.

1. 于林娟. 彩色多普勒超聲診斷膽囊息肉樣病變的臨床價值研究. 影像研究與醫學應用, 2024, 8(6): 107-109.
2. 涂偉. 關于膽囊息肉樣病變的診療進展. 中國醫藥指南, 2020, 18(1): 11.
3. 李英荃. 結腸息肉內鏡手術治療方法的進展分析. 世界復合醫學, 2021, 7(7): 195-198.
4. 張立麗, 孫興華, 廖飛虎. 膽囊息肉樣病變影響因素研究及病例轉歸分析. 華南預防醫學, 2023, 49(7): 848-852.
5. 中國高血壓防治指南修訂委員會, 高血壓聯盟(中國) , 中華醫學會心血管病學分會, 等. 中國高血壓防治指南(2018年修訂版). 中國心血管雜志, 2019, 24(1): 24-56.
6. 中華醫學會糖尿病學分會神經并發癥學組, 國家基本公共衛生服務項目基層糖尿病防治管理辦公室. 國家基層糖尿病神經病變診治指南(2024版). 中華糖尿病雜志, 2024, 16(5): 496-511.
7. 中國血脂管理指南修訂聯合專家委員會. 中國血脂管理指南(2023年). 中華心血管病雜志, 2023, 51(3): 221-255.
8. 中華醫學會內分泌學分會. 中國高尿酸血癥與痛風診療指南(2019). 中華內分泌代謝雜志, 2020, 36(1): 1-13.
9. Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior. Br J Sports Med, 2020, 54(24): 1451-1462.
10. Pickering O, Pucher PH, Toale C, et al. Prevalence and sonographic detection of gallbladder polyps in a Western European population. J Surg Res, 2020, 250(6): 226-231.
11. 胡海霞. 軍事飛行人員膽囊息肉患病現狀分析及思考. 中華保健醫學雜志, 2021, 23(6): 623-625.
12. Lin SH, Wu KT, Chiu YC, et al. Risk factors for gallbladder polyps observed through second-look abdominal sonography in patients with fatty liver disease. Medicine (Baltimore), 2022, 101(30): e29643. doi: 10.1097/MD.0000000000029643.
13. Yu Z, Yang C, Bai X, et al. Risk factors for cholesterol polyp formation in the gallbladder are closely related to lipid metabolism. Lipids Health Dis, 2021, 20(1): 26. doi: 10.1186/s12944-021-01452-6.
14. Yamin Z, Xuesong B, Guibin Y, et al. Risk factors of gallbladder polyps formation in East Asian population: A meta-analysis and systematic review. Asian J Surg, 2020, 43(1): 52-59.
15. 王文嵐, 李婭. 不同地域兩個運輸機部隊空勤人員疾病譜調查、差異性分析及對策研究. 中國療養醫學, 2019, 28(4): 337-340.
16. Han JW, Choi YH, Lee IS, et al. Gallbladder polyps growth rate is an independent risk factor for neoplastic polyps. United European Gastroenterol J, 2022, 10(7): 651-656.
17. 姚貴賓, 劉力瑋, 白雪松. 膽囊息肉的超聲觀察隨訪及其危險因素. 中華肝膽外科雜志, 2020, 26(8): 606-610.
18. 李巧巧, 鄧曉園, 劉瑤, 等. 中國大學生高尿酸血癥檢出率及影響因素的系統評價. 中國療養醫學, 2023, 32(5): 470-474.
19. Yao G, Bai X, Yang C, et al. Analysis of risk factors for gallbladder polyp formation - A retrospective study based on serial ultrasounds. Eur J Gastroenterol Hepatol, 2020, 32(9): 1154-1159.
20. González-Gómez S, Paez H, Karen CG. Risk factors and recommendations for follow-up of gallbladder polyps. AJR Am J Roentgenol, 2022, 219(6): 1005. doi: 10.2214/AJR.22.27959.
21. 蔣南, 金壯, 雷裕, 等. 某部官兵發生膽囊息肉樣變的影響因素分析. 武警醫學, 2021, 32(12): 1089-1090,1098.
22. 許艷, 王學霞, 韓春玲. 東營市成年居民膽囊息肉樣病變特征及影響因素分析. 華南預防醫學, 2023, 49(10): 1224-1228.
23. 王剛剛, 沈曉偉, 張鑫, 等. 膽囊息肉樣病變相關危險因素分析. 沈陽醫學院學報, 2022, 24(5): 470-473.
24. 劉玉青. 健康體檢中彩超檢查膽囊息肉樣病變發生情況及相關因素分析. 影像研究與醫學應用, 2023, 7(9): 150-152.
25. 中華人民共和國國家衛生健康委員會. 成人高脂血癥食養指南(2023年版). 全科醫學臨床與教育, 2023, 21(7): 581-583.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of risk factors and health management of polypoid lesions of gallbladder in civil aviation flight cadets

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