摘要
目的了解湖北十堰地区消化性溃疡的流行病学特点。方法回顾性调查分析2013年7月至2014年7月本院经胃镜检查确诊的消化性溃疡患者的临床资料,了解本地区消化性溃疡的发病率,并分析其发病与年龄、性别、职业、季节、饮酒、吸烟、服用非甾体类抗炎药、幽门螺杆菌(Hp)感染、溃疡发生部位等因素的关系。结果 5324例就诊患者中共确诊消化性溃疡761例,发病率为14.29%,其中胃溃疡243例,十二指肠溃疡398例,复合性溃疡120例。男性、体力劳动者、有长期吸烟饮酒史、Hp感染阳性、服用非甾体类抗炎药者消化性溃疡发病率较高。秋冬季节较春夏季节发病率高;老年人胃溃疡、复合性溃疡高发,而中、青年人十二指肠溃疡高发。胃溃疡以胃窦、胃角多发,十二指肠溃疡以大弯、前壁多发。结论湖北十堰地区消化性溃疡的发病与性别、年龄、职业、饮酒吸烟史、服用非甾体类抗炎药、Hp感染、季节等因素密切相关。
Objective To understand the epidemiological features of peptic ulcer in Shiyan district, Hubei province. Method Patients with peptic ulcer who were diagnosed by gastroscopy in our hospital from July 2013 to July 2014 were studied retrospectively. Understood the morbidity of peptic ulcer in Shiyan district, and analyzed the relationship between the occurrence of peptic ulcer and the factors which included age, sex, occupation, season, drinking, smoking, taking non steroidal anti-inflammatory drugs, helicobacter pylori infection and ulcer location. Result 761 patients were diagnosed as peptic ulcer in 5324 patients. Peptic ulcer morbidity was 14.29%. These peptic ulcer patients included 243 cases gastric ulcer patients, 398 cases duodenal ulcer patients, and 120 cases compound ulcer patients. The peptic ulcer morbidity was higher in patients who were male, laborers, long-term smoking and drinking, taking non steroidal anti-inflammatory drugs, helicobacter pylori positive. The peptic ulcer morbidity was higher in autumn and winter than in spring and summer. The morbidity of gastric ulcer and compound ulcer were higher in the elderly. The morbidity of duodenal ulcer was higher in the young people. Gastric ulcer occured frequently in the gastric antrum and gastric angle. Duodenal ulcer occurred frequently in the anterior wall and big bend. Conclusion There are very closely relationship between the occurrence of peptic ulcer in Shiyan district and the factors which include sex, age, occupation, smoking, drinking, taking non steroidal anti-inflammatory drugs, helicobacter pylori infection and season.
出处
《中国医学前沿杂志(电子版)》
2015年第5期71-74,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)