PDF(Pubmed)
Abstract：
Cholelithiasis is the most common cause of gastroenterological hospitalization. Given this significant risk, perfectly managing cholelithiasis is crucial to reduce hospitalization. Unfortunately, we have not found a study on a review of the management of cholelithiasis in Saudi Arabia. Therefore, we aim to evaluate cholelithiasis concerning demographic features, presentation symptoms, predisposing risk factors, laboratory features, complications, and outcomes in the Qassim region. This cross-sectional study of all patients with a radiological diagnosis of gallstones, whether symptomatic or not, was diagnostic in 2022. The researchers fielded a preformed data collection sheet for each patient from the hospital system. Data obtained were entered into a spreadsheet and analyzed using SPSS Statistics version 23.0 (IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.). A total of 526 patients were included in the study. Most patients (116, 22.1%), were aged 38-42. The finding also indicated that most patients were females (397, 75.5%), while males were only 129 (24.5%). The study also found that the difference between women and men presenting complaints of fat intolerance and right shoulder pain was statistically significant. Women were 100 (84%) and men were 19 (16%) for fat intolerance, while for right shoulder pain, women were 50 (89.3%) and men were six (10.7%). The p-values were 0.014 and 0.011, respectively. Further, there was a statistically significant difference in terms of the complaints presented by the patients between the complicated and non-complicated cases of abdominal pain (p=0.001), nausea (p=0.001), vomiting (p=0.001), change in urine and stool color (p=0.001), and right shoulder pain (p=0.001), among other complaints (p=0.001). The study concludes that most patients affected by cholelithiasis are individuals in the middle age group, with women being more affected by the disease than men. Further, among the individuals affected by the disease, the majority of them were overweight and obese. On the other hand, the study concludes that the majority of patients who suffer more from cholelithiasis are affected mainly by other associated diseases such as hypertension, hypothyroidism, and diabetes mellitus. In conclusion, many factors may contribute to gallstone formation and the outcome of the disease and surgery. Therefore, the study recommends that health workers offer tailored education, especially targeting the highlighted factors found in this study, to create awareness of disease control measures in the general population. Also, keep in mind these factors when dealing with patients who complain of abdominal pain.
摘要：
胆石症是胃肠病住院的最常见原因。鉴于这一重大风险，完美治疗胆石症对于减少住院至关重要。不幸的是,我们尚未发现一项关于沙特阿拉伯胆石症治疗的综述研究.因此,我们的目标是评估胆石症的人口学特征，表现症状，易感风险因素，实验室特点,并发症,以及卡西姆地区的结果。这项横断面研究对所有放射学诊断为胆结石的患者进行了研究，无论是否有症状，在2022年诊断。研究人员为医院系统中的每位患者提供了预先形成的数据收集表。将获得的数据输入到电子表格中，并使用SPSSStatistics23.0版进行分析(IBMCorp.2015年发布IBMSPSSStatisticsforWindows,版本23.0。Armonk,纽约：IBM公司).总共526名患者被纳入研究。大多数患者（116，22.1%），38-42岁。该发现还表明，大多数患者是女性（397，75.5％），而男性仅为129(24.5%)。该研究还发现，女性和男性对脂肪不耐受和右肩疼痛的抱怨之间的差异具有统计学意义。女性为100（84％），男性为19（16％）的脂肪不耐受，而右肩疼痛，女性为50人(89.3%),男性为6人(10.7%)。p值分别为0.014和0.011。Further,在复杂性和非复杂性腹痛病例之间，患者的主诉方面存在统计学上的显着差异（p=0.001），恶心（p=0.001），呕吐（p=0.001），尿液和粪便颜色的变化（p=0.001），右肩疼痛（p=0.001），在其他投诉中(p=0.001)。该研究得出的结论是，大多数受胆石症影响的患者是中年群体的个体，女性比男性更容易受到这种疾病的影响。Further,在受疾病影响的个体中，他们大多数超重和肥胖。另一方面,该研究得出的结论是，大多数患有胆石症的患者主要受到其他相关疾病的影响，如高血压，甲状腺功能减退,和糖尿病。总之,许多因素可能导致胆结石的形成以及疾病和手术的结果。因此,该研究建议卫生工作者提供量身定制的教育，特别是针对这项研究中发现的突出因素，在普通人群中提高对疾病控制措施的认识。此外，在处理抱怨腹痛的患者时，请记住这些因素。
