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J Gastroen Hepatol：便血人群结肠癌风险因素研究

2018-07-02 zhangfan MedSci原创

便血结肠癌结肠癌性结肠息肉
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研究认为，32岁以上，肥胖、糖尿病以及家族结肠癌史便血人群因警惕结肠癌性结肠息肉风险

近年来中青年人群的结肠癌（CRC）风险及负担不断增加，年轻人群预防及识别结肠癌性结肠息肉(NCPs)和CRC可有效降低死亡风险。近日研究人员就中青年便血人群的NCP及CRC风险因素进行了考察。

1406名40岁以下因便血接受结肠镜检查的患者参与研究，研究同时招募了1481名接受常规结肠镜健康体检的参与者。

多因素分析显示，年龄增加（OR=1.11）、体重指数增加（OR=1.07）、糖尿病（OR=2.08）以及家族结肠癌史（OR=13.28）的便血人群其NCP风险显著增加。接受者操作特征曲线风险显示，年龄超过32岁以及体重指数大于24.8 kg/m2的便血人群NCP风险增加。风险因素越多，NCP风险越大（每增加1个风险因素的比值比为2.17）。对照人群中未发现风险因素。

研究认为，32岁以上，肥胖、糖尿病以及家族结肠癌史便血人群因警惕结肠癌性结肠息肉风险。

原始出处：


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    2018-12-12 许安

    #GAS#

    0

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    2018-07-14 ms24272190615788285182

    #AST#

    0

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    2018-12-26 sjq027

    #癌风险#

    0

  4. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), 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    2018-07-03 huangdf

    #便血#

    0

  5. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), 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    2018-07-03 gwc384

    #EPA#

    0

  6. 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    2018-07-03 明月清辉

    谢谢分享.学习了

    0

  7. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328674, encodeId=e9e13286e4bf, content=学习了!!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Mon Jul 02 08:07:54 CST 2018, time=2018-07-02, status=1, ipAttribution=)]
    2018-07-02 明月清辉

    谢谢分享.学习了

    0

  8. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328674, encodeId=e9e13286e4bf, content=学习了!!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Mon Jul 02 08:07:54 CST 2018, time=2018-07-02, status=1, ipAttribution=)]
    2018-07-02 1e17414fm02(暂无匿称)

    学习

    0

  9. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328674, encodeId=e9e13286e4bf, content=学习了!!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Mon Jul 02 08:07:54 CST 2018, time=2018-07-02, status=1, ipAttribution=)]
    2018-07-02 龙胆草

    学习谢谢分享

    0

  10. 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channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon Jul 02 08:57:39 CST 2018, time=2018-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=328683, encodeId=07e23286839b, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Jul 02 08:52:04 CST 2018, time=2018-07-02, status=1, ipAttribution=), 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    2018-07-02 zb1235672

    学习了!!!!!

    0

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相关资讯

便血，不一定就是痔疮，也可能是癌！

痔疮在人群中非常常见。便血、排便困难、排便疼痛等是痔疮的典型症状，这种病虽然很讨厌，但是大家都认为要不了命，往往自行处理，随便吃点药了事。殊不知，这种便血症状不仅是痔疮独有的，直肠癌也有类似症状。

便血快速解读

便血一般见于下消化道出血，特别是结肠与直肠的出血，但偶尔可见上消化道出血。便血的颜色取决于消化道出血的部位、出血量与血液在肠道停留的时间。便血伴有皮肤、黏膜或其他器官出血现象者，多见于血液系统疾病及其他全身性疾病。如白血病、弥散性血管内凝血等。

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