Gallstone disease, hypertension and diabetes are known as the three “civilization diseases”, and the incidence is increasing year by year. Yesterday, the reporter learned from the health department that Yao Kaibing, a national famous veteran Chinese medicine doctor and the leader of the national key specialty of stone disease in Qingdao Hospital of Integrative Medicine, has completed a survey on the danger of gallstones in Qingdao. Through the analysis of more than 20,000 gallstone clinical data, it was found that the incidence of gallstone disease in Qingdao is increasing year by year, and now there is a trend of youthfulness, with the incidence rate reaching more than 6% among adults over 18 years old. Qingdao people love to eat squid, clams and other seafood with high cholesterol content is one of the triggering factors. Data: incidence rate of 14% over 50 years old This survey analyzed more than 20,000 gallstone disease clinical data, the survey shows that the largest patient with gallstone disease ever seen in the island hospital is 104 years old, while the youngest patient is only 3 years old. The incidence of gallstones increases with age: 14% in people over 50 years old, and 21% in those over 60 years old.
At least one in five older adults has gallstones. The complications of gallstones are the focus of the survey. The survey found that gallstone disease can be complicated by “bile heart syndrome”, with a prevalence rate of 5% in young people and 20%-30% in the elderly. Patients often have epigastric pain with panic, breath-holding and arrhythmia, and electrocardiographic examination reveals impairment of cardiac function, suggesting coronary artery “insufficient blood supply”, or even “heart attack” images.
In women over 40 years of age, the incidence of cholelithiasis complicated by uterine fibroids, breast and thyroid disease has increased exponentially. Gallstone disease and uterine fibroids account for about 50% of cases. Population: obese women have a high incidence of gallstones Obese women are more likely to suffer from gallstones. According to the survey, women account for more than half of gallstones patients, and the more pregnancies, the higher the incidence. The reason is that the high level of estrogen in women’s body will affect the formation of glucuronide bilirubin in the liver and increase the non-conjugated bilirubin; estrogen also affects the emptying of the gallbladder, causing bile sweat stagnation, which is very easy to form stones. The incidence of gallstones increases in postmenopausal estrogen users. The incidence of gallstones is 5 times higher than normal in obese people whose weight exceeds 15% of the normal standard, and the incidence of gallstones is 6 times higher in obese women between the ages of 20 and 30 than in their normal weight counterparts, and 40% of obese women over the age of 60 have gallbladder disease and gallstones. The reason is that most obese people have too much fat and cholesterol intake, coupled with obese people are mostly less active, prone to gallstones. The reason: stressful eating seafood caused by the high incidence of gallstones in the island city why so high? “An important reason is related to emotions. People who are emotionally unstable and easily irritable are relatively easy to get gallstone disease. Gallstones are related to anger, nervousness and long-term skipping breakfast, staying up late and eating late night snacks. In addition, overwork and stressful work are also likely to trigger gallstones. Experts say that there is also a major cause, is the problem of dietary habits. Qingdao people like to eat clams, prawns, squid, octopuses and other seafood, many seafood are very high in cholesterol, these foods are easy to trigger stones. ”Our side of the people are still mainly meat dishes, the diet of meat like sweet people, their fat and cholesterol intake, easy to form cholesterol stones.” Yao Kaibing said that the survey found that most of the gallstone stones in Qingdao are bilirubin-based mixed stones, and in the past decade there has been a significant rise in gallbladder cholesterol stones, accounting for about 80% of gallstone disease, the stones are multiple and multi-site presence, and the condition worsens year by year, due to stone activity repeated abdominal pain, biliary tract infection and obstruction, the occurrence of various serious complications and health hazards. In addition, it is also found that the cause of gallstones in Qingdao is related to various liver diseases, especially viral hepatitis, first with liver disease, then with stone disease; with intestinal parasites, biliary ascariasis, biliary tract infection has a significant relationship; with coronary heart disease, heart infarction after surgery (stent, bypass, valve replacement), after major gastrectomy. Prevention: eat less food with high fat content The causes of gallstone disease are closely related to diet and lifestyle patterns, as people nowadays eat well and exercise less, thus easily causing excessive fat storage. Experts remind the public that the prevention of gallstone disease should start to pay attention to lifestyle from a young age, and that the richer the diet, the better. Pay attention to eating a good breakfast, drink more water, eat less greasy food, pay attention to their metabolic balance and diet regulation.