| Objective:To investigate the possible risk factors in Qinghai area of primary gallbladder and common bile duct stones after resection,and the area of Tibetan,Han,Hui,the difference between the three nations to the relative factors of patients,so as to popularize healthy diet and life guidance,in order to reduce after cholecystectomy of primary bile duct stones morbidity.Increase the area of Qinghai Tibetan,Han,Hui people’s quality of life.Methods:Collection on January 1,2005 to December 30,2015,10 years,the qinghai university affiliated hospital,always line cholecystectomy patients 329 cases,of which no postoperative patients suffering from primary common bile duct calculi,180 cases(control group)and 149 cases suffering from primary common bile duct calculi patients postoperative patients(group).Patient groups according to different divided into 48 cases of Tibetan and han ethnic 65 cases,36 cases of hui nationality.Collect patients’ gender,age,body mass index(BMI),drinking,smoking,hypertension,diabetes,liver hydatid disease,high blood triglycerides,high blood cholesterol and low HDL,high and low density lipoprotein hematic disease,such as index,the index difference of comparison between patients group and control group,difference have statistical significance and advantages than calculation,comparison between patients group of Tibetan,han,hui the above indicators,analyzes the differences between three nationalities.Results:(1)By single factor Logistic regression,the primary common bile duct calculi after cystic resection possible risk factors were analyzed,and the results show that a woman’s risk of disease after cystic resection is 1.761 times that of men(OR = 1.761),the result was statistically significant(P = 0.011).Age,compared with thegroup under the age of 45,age was(55 ~ 64),the risk for the group was 2.568 times(OR = 2.568),the risk for the age 65 and older group is 3.556 times as much(OR = 3.556),the results were statistically significant(P < 0.05);More at risk of high blood triglycerides is 2.061 times of the high blood triglycerides(OR = 2.061),the result was statistically significant(P = 0.008).More at risk of hypercholesterolemia is 1.825 times that of hypercholesterolemia(OR = 1.825),the result was statistically significant(P = 0.025).National side,compared with the hui,han risk is 2.201 times as much(OR = 2.201),the risk for the Tibetan is 2.737 times as much(OR = 2.737),the results were statistically significant(P < 0.05).The rest of the various factors and primary bile duct stones after cholecystectomy are no statistical correlation.(2)By chi-square test,the Tibetan,han,hui after cystic resection of primary factors of the patients with common bile duct calculi study comparison.Results showed that among three nationalities gender,age,BMI,hypertension,diabetes,TG,TC,HDL,LDL and the distribution of the variables had no statistical difference(P > 0.05);Drinking distribution statistical differences(P < 0.001),the highest proportion of patients while the drinkers;Smoking distribution statistical differences(P < 0.001),the han nationality patients with the highest proportion of smokers;Hepatic echinococcosis distribution statistical differences(P < 0.001),including the Tibetan patients with the highest percentage of hepatic echinococcosis.Conclusion:(1)the risk of primary bile duct stones after cholecystectomy,women more than men;(2)increases with age,with increased risk of postoperative primary common bile duct calculi;(3)high blood triglycerides and hypercholesterolemia may be a risk factor for postoperative primary common bile duct stone formation;(4)BMI,drinking,smoking,hypertension,low HDL levels,high and low density lipoprotein hematic disease may not be a risk factor for postoperative primary common bile duct stone formation;(5)the three nations,the highest risk of Tibetan,hui lowest risk;(6)three nations,drinking,smoking,hepatic echinococcosis difference was statistically significant,the rest are not significant. |
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