肛瘘患者的代谢综合征

D. Muhabbatov, Д К Мухаббатов, M. K. Gulov, М К Гулов, B. M. Hamroev, Б М Хамроев
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摘要

工作目的:研究肛瘘患者代谢综合征各组成部分的发生率,分析不同代谢综合征组成部分与直肠旁瘘类型的组合。材料与方法。临床检查508例,其中85.2%为男性;2010年至2015年期间,在杜尚别第五市立临床医院直肠外科接受治疗的21.5%(20-39岁,43.9% - 40-59岁,34.6% -≥60岁)患有肛瘘(其中48.0%为经括约肌瘘,29.3%为经括约肌外瘘),目的是鉴定代谢综合征的组成部分。结果。282例患者(占肛瘘患者总数的55.5%,其中90.8%为男性)确定了代谢综合征的组成部分:肥胖229例(占肛瘘患者总数的45.1%),动脉高血压115例(22.6%),2型糖尿病58例(11.4%),IHD 8例(1.6%)。在存在代谢综合征的情况下,复发形式的瘘管记录在16.3%的病例中(在没有代谢综合征的情况下-在12.8%的病例中),复杂形式-沥青外(29.3%)多于沥青内(22.7%);在对照组中,上述形态所占比例分别为24.8%和29.2%。经括约肌形式在两组中最常见(48.0%和46.0%)。结论。超过一半(55.5%)的肛瘘患者存在不同组合的代谢综合征(肥胖45.1%,动脉高血压22.6%,2型糖尿病11.4%,IHD 1.6%)。在代谢综合征的患者中,肛门瘘的复发率更高,形式更复杂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic syndrome in patients with anal fistulae
Aim of work: to study the incidence of components of metabolic syndrome in patients with anal fistulae, to analyze combinations of different components of metabolic syndrome and types of pararectal fistulae. Materials and Methods. A clinical examination of 508 patients (85.2% – men; 21.5% at the age of 20-39 years, 43.9% – 40-59 years, 34.6% – ≥60 years) with anal fistulae (of them 48.0% were transsphincteric and 29.3% – extrasphincteric fistulae) who underwent treatment in the department of coloproctology of municipal clinical hospital №5 of Dushanbe in the period from 2010 to 2015, was conducted with the aim of identification of components of metabolic syndrome. Results. In 282 patients (55.5% of the total number of patients with anal fistulae, 90.8% of them being men) components of metabolic syndrome were identified: obesity – in 229 patients (45.1% of the total patients with anal fistulae), arterial hypertension – in 115 patients (22,6%), type 2 diabetes mellitus – in 58 patients (11.4%), IHD – in 8 patients (1.6%). In the presence of components of metabolic syndrome the recurrent forms of fistulae were recorded in 16.3% of cases (in the absence – in 12.8% of cases), and complicated forms – extrasphincteric (29.3%) predominated over intrasphincteric forms (22.7%); in control group the proportion of the mentioned forms was 24.8% and 29.2%, respectively. Transsphincteric forms were most common in both groups (48.0% and 46.0%). Conclusions. Components of metabolic syndrome in different combinations were identified in more than half (55.5%) the patients with anal fistulae (obesity – 45.1%, arterial hypertension – 22.6%, 2 type diabetes mellitus – 11.4%, IHD – 1.6%). A tendency was recorded to a more common recurrence of anal fistulae and to a more complicated forms of anal fistulae in patients with components of metabolic syndrome.
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