ABSTRACT
Objective To understand the prevalence and risk factors of chronic diseases in Xilinguole League, Inner Mongolia, and its risk factors in 2017, so as to provide evidence for the prevention and treatment of chronic non-communicable diseases. Methods The stratified cluster random sampling method was used to conduct a questionnaire survey on the residents in Xianghuangqi area of Xilin Gol League, Inner Mongolia. Epidate 3.1 was used for data entry, and SPSS 25.0 was used for statistical analysis. Results The average age of the subjects was 46.2 ± 11.2 years old, and the prevalence of chronic diseases was 25.26%. The prevalence of hypertension ranks first at 18.56%; the prevalence of women is slightly higher than that of men (χ2=0.968, p2=1447.730, p2=7.790, p＜0.05); the prevalence of age increases (χ2trend=137.214, p＜0.01); the prevalence of higher education shows a downward trend (χ2trend=84.258, p＜0.01); the prevalence of BMI increases showed an upward trend (χ2trend=31.956, p＜0.01). Smoking is a risk factor for chronic diseases (OR: 1.33, 95% CI: 1.01~1.76); age is a risk factor for chronic diseases, and the prevalence is significantly higher in the age group >69 (OR: 9.11, 95% CI: 2.78~29.78); Education level is a protective factor for chronic diseases. The prevalence of college degree and above is lower than that of illiteracy (OR: 0.16, 95%CI: 0.07~0.36); residents with BMI> 28 have the highest risk of disease (OR: 2.94, 95%CI: 1.36) ~6.32). Conclusion The prevalence of chronic diseases of residents in Xianghuang Banner of Xilingol League of Inner Mongolia should not be ignored. The prevalence of chronic diseases of Mongolian residents is higher than that of Han people. Therefore, it is necessary to change their living and eating habits and improve their awareness of prevention so as to reduce the prevalence of chronic diseases.
ABSTRACT
Objective:To investigate the influence of clinical outcomes and the risk factors of poor prognosis for preoperative nutritional risk in gastric cancer patients.Methods:A prospective study was performed in 140 patients with gastric cancer and the nutritional risk screening 2002 (NRS 2002) was done.The influence of preoperative nutritional risk on postoperative complications,hospital stay,ICU stay,hospital expenses,60 days readmission and mortality was analyzed,and the risk factors of perioperative complication were identified by univariate and multivariate analysis.Results:The significant difference (NRS 2002 ≥ 3 group vs.NRS 2002 ＜ 3 group) was observed in the rates of overall postoperative complications,pulmonary infection,overall hospital stay and postoperative hospital stay (P ＜ 0.05).The rates of anastomotic fistula,pleural effusion,60 days readmission,60 days mortality and hospitalization expenses in NRS 2002 ≥ 3 group were higher than that of NRS 2002 ＜ 3 group,but there were no differences between the two groups (P ＞ 0.05).By univariate and multivariate analysis,preoperative high cholesterol levels and preoperative nutritional risk are the risk factors of poor prognosis and postoperative complications.Conclusion:Preoperative high cholesterol levels and preoperative nutritional risk are independent risk factors of postoperative complications.