Metabolic Syndrome in Patients with Gallstone

A. Alizadeh, Mohammad-taghi Mohammad Khah, Navid Saadat damghani, R. Talaee, Hasan Rajabali Nia, Aazam Erfanifar
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引用次数: 2

Abstract

Background: Metabolic Syndrome (MetS) is defined as a cluster of multiple cardiovascular risk factors, including central obesity, elevated fasting plasma glucose, high blood pressure, dyslipidemia. The prevalence of MetS has been increasing gradually in the world and there are many hypotheses about relationship between metabolic syndrome and others diseases. The aim of this study is evaluation of prevalence of metabolic syndrome in the patients with gallstone disease. Methods and materials: 400 patients with gallstone disease entered in a cross sectional study. Medical files were extracted and metabolic syndrome was defined by Adult Treatment Panel III (ATP III) base on clinical data. Results: Metabolic syndrome was diagnosed in 213 (53.3%) subjects. In this group, 175 (82.2%) had their gallstone both in gall bladder and biliary tract and 38 (17.85) only in biliary tract. In patients without metabolic syndrome, 127 (67.9%) had the gallstone in both gallbladder and biliary tract and 60 (32.1%) only in their biliary tract. Comparison of these ratios led to a statistically significant difference (P=0.001; Odds Ratio: 2.18; CI 95%: 1.36-3.47). Conclusions: The results showed that may be a relationship between metabolic syndrome and gallstone disease. More future study with control group for this evaluation is necessary.
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胆结石患者的代谢综合征
背景:代谢综合征(MetS)被定义为一组多重心血管危险因素,包括中枢性肥胖、空腹血糖升高、高血压、血脂异常。代谢综合征在世界范围内的发病率逐渐上升,关于代谢综合征与其他疾病之间的关系存在许多假设。本研究的目的是评估胆结石患者代谢综合征的患病率。方法与材料:对400例胆结石患者进行横断面研究。提取医疗档案,根据临床资料采用成人治疗小组III (Adult Treatment Panel III, ATP III)对代谢综合征进行定义。结果:213例(53.3%)被诊断为代谢综合征。本组175例(82.2%)胆囊胆道合并结石,38例(17.85%)胆道合并结石。在无代谢综合征的患者中,127例(67.9%)同时发生胆囊和胆道结石,60例(32.1%)仅发生胆道结石。这些比率的比较有统计学上的显著差异(P=0.001;优势比:2.18;Ci 95%: 1.36-3.47)。结论:代谢综合征与胆结石病可能存在一定的关系。未来有必要进行更多的对照组研究。
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