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老年代谢相关脂肪性肝病与结直肠腺瘤的相关性研究

马一鸣 王姣锋 施佳恒 叶丹 王静 姜静文 徐菁恽 胡晓娜

老年医学与保健2024,Vol.30Issue(4):915-919,5.
老年医学与保健2024,Vol.30Issue(4):915-919,5.

老年代谢相关脂肪性肝病与结直肠腺瘤的相关性研究

A study on relationship between metabolic-associated fatty liver disease and colorectal adenoma in the elderly

马一鸣 1王姣锋 2施佳恒 3叶丹 3王静 3姜静文 3徐菁恽 3胡晓娜3

作者信息

  • 1. 复旦大学附属华东医院全科医学科,上海 200040
  • 2. 上海市老年医学临床重点实验室,上海 200040
  • 3. 复旦大学附属华东医院消化内科,上海 200040
  • 折叠

摘要

Abstract

Objective To investigate the relationship between metabolic-associated fatty liver disease(MAFLD)and hepatic fibrosis and colorectal adenoma(CRA)in the elderly.Methods A retrospective analysis was conducted on 1 583 eld-erly patients who underwent abdominal ultrasound and electronic colonoscopy in Huadong Hospital Affiliated to Fudan Universi-ty from June 2021 to December 2022,including 772 males and 811 females,with 786 in the CRA group and 797 in the control group.Their general data,blood biochemical indexes and abdominal ultrasound results were collected.Binary multivariate Lo-gistic regression was used to analyze the risk factors for CRA and the correlation between the degree of liver fibrosis and the risk of CRA was investigated.Results The prevalence of MAFLD in the CRA patients was higher than that in the non-CRA pa-tients(62.98%vs 52.20%).Binary multivariate logistic regression analysis showed that male,increasing age and MAFLD were risk factors for CRA(P<0.05).APRI score ≥0.50 and FIB-4 score ≥ 2.0 were independent risk factors for CRA(P<0.05).Conclusion In elderly patients with CRA,the proportion of males and MAFLD is higher.As the degree of liver fibro-sis worsens,the risk of developing CRA may increases.

关键词

老年/代谢相关脂肪性肝病/结直肠腺瘤/肝纤维化

Key words

elderly/metabolic-associated fatty liver disease/colorectal adenoma/hepatic fibrosis

引用本文复制引用

马一鸣,王姣锋,施佳恒,叶丹,王静,姜静文,徐菁恽,胡晓娜..老年代谢相关脂肪性肝病与结直肠腺瘤的相关性研究[J].老年医学与保健,2024,30(4):915-919,5.

基金项目

上海市卫生健康委员会卓越项目/上海市杰出青年医学人才培养计划(20224Z0009) (20224Z0009)

老年医学与保健

OACSTPCD

1008-8296

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