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瘢痕疙瘩与体重指数和高血压的关联:一项回顾性对照研究。

Association of Keloid with Body Mass Index and Hypertension: A Retrospective Controlled Study.

作者信息

Cai Yujiao, Ye Yujie, Wang Ziyan, Che Dehui, Zhu Bangzhong, Liu Yan, Cao Dongsheng

机构信息

Department of Plastic and Reconstructive, The Second Affiliated Hospital of Anhui Medical University, Furong Road 678#, Shushan Dist., Hefei, 238000, People's Republic of China.

Department of Burn and Plastic Surgery, Lu'an People's Hospital of Anhui Province, Luan, China.

出版信息

Aesthetic Plast Surg. 2025 Aug 11. doi: 10.1007/s00266-025-05102-5.

DOI:10.1007/s00266-025-05102-5
PMID:40790385
Abstract

BACKGROUND

Little is known about the impact of chronic comorbidities on the onset and progression of keloid. The association between keloid and metabolic syndrome has not been investigated in observational controlled studies.

OBJECTIVE

To evaluate the association of keloid with obesity and hypertension using a population-based study.

METHODS

Information was collected on 151 patients with keloids, anywhere on the body, who visited the Plastic Surgery Department of the Second Affiliated Hospital of Anhui Medical University, and 164 control participants. The patient and control groups had similar mean ages.

RESULTS

The mean ages of the patients and controls were 34.74 ± 16.25 years, and 35.50 ± 12.45 years, respectively. In the univariate analysis and multivariate analyses, body mass index ≥ 25 kg/m (OR = 1.546; p = 0.077) and systolic hypertension (OR = 3.859; p = 0.024) were related to keloid. The two risk factors were independent.

CONCLUSIONS

Keloid was associated with overweight and systolic hypertension.

LEVEL OF EVIDENCE III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

关于慢性合并症对瘢痕疙瘩发病和进展的影响,人们了解甚少。瘢痕疙瘩与代谢综合征之间的关联尚未在观察性对照研究中进行调查。

目的

采用基于人群的研究评估瘢痕疙瘩与肥胖症和高血压之间的关联。

方法

收集了安徽医科大学第二附属医院整形外科接诊的151例身体任何部位患有瘢痕疙瘩的患者以及164例对照参与者的信息。患者组和对照组的平均年龄相近。

结果

患者组和对照组的平均年龄分别为34.74±16.25岁和35.50±12.45岁。在单因素分析和多因素分析中,体重指数≥25kg/m(比值比=1.546;P=0.077)和收缩期高血压(比值比=3.859;P=0.024)与瘢痕疙瘩有关。这两个危险因素相互独立。

结论

瘢痕疙瘩与超重和收缩期高血压有关。

证据级别III:本刊要求作者为每篇文章指定一个证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者须知www.springer.com/00266 。

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本文引用的文献

1
Keloid treatments: an evidence-based systematic review of recent advances.瘢痕疙瘩治疗:最新进展的循证系统评价。
Syst Rev. 2023 Mar 14;12(1):42. doi: 10.1186/s13643-023-02192-7.
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Comorbidities of Keloid and Hypertrophic Scars Among Participants in UK Biobank.英国生物库参与者中瘢痕疙瘩和增生性瘢痕的合并症。
JAMA Dermatol. 2023 Feb 1;159(2):172-181. doi: 10.1001/jamadermatol.2022.5607.
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Quality-of-life of people with keloids and its correlation with clinical severity and demographic profiles.瘢痕疙瘩患者的生活质量及其与临床严重程度和人口统计学特征的相关性。
Wound Repair Regen. 2022 May;30(3):409-416. doi: 10.1111/wrr.13015. Epub 2022 Apr 15.
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The increased prevalence of keloids in atopic dermatitis patients with allergic comorbidities: a nationwide retrospective cohort study.特应性皮炎伴过敏合并症患者中瘢痕疙瘩的患病率增加:一项全国性回顾性队列研究。
Sci Rep. 2021 Dec 8;11(1):23669. doi: 10.1038/s41598-021-03164-4.
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Risk of cancer development in patients with keloids.瘢痕疙瘩患者的癌症发病风险。
Sci Rep. 2021 Apr 30;11(1):9390. doi: 10.1038/s41598-021-88789-1.
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Effects on quality of life and psychosocial wellbeing in Chinese patients with keloids.瘢痕疙瘩对中国患者生活质量和心理社会幸福感的影响。
Am J Transl Res. 2021 Mar 15;13(3):1636-1642. eCollection 2021.
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Does vitamin D deficiency predispose to keloids via dysregulation of koebnerisin (S100A15)? A case-control study.维生素D缺乏是否通过koebnerisin(S100A15)失调导致瘢痕疙瘩形成?一项病例对照研究。
Wound Repair Regen. 2021 May;29(3):425-431. doi: 10.1111/wrr.12894. Epub 2021 Jan 21.
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Comorbidity Networks in Cardiovascular Diseases.心血管疾病中的共病网络
Front Physiol. 2020 Aug 28;11:1009. doi: 10.3389/fphys.2020.01009. eCollection 2020.
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Acne keloidalis nuchae and hypertension in black subjects: a case-control study.黑人患者的瘢痕疙瘩性痤疮与高血压:一项病例对照研究。
BMC Res Notes. 2020 Sep 14;13(1):431. doi: 10.1186/s13104-020-05274-0.
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Systemic factors that shape cutaneous pathological scarring.影响皮肤病理性瘢痕形成的系统性因素。
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