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目的探讨消化性溃疡(PU)的发病学特点。方法对22年间经胃镜检查诊断为PU的病例进行统计分析。结果在所有被检查患者中检出PU 5678例(26.67%),其中十二指肠溃疡(DU)2721例(47.92%),胃溃疡(GU)2489例(43.84%),复合性溃疡(CU)468例(8.24%)。铁路职工检出率为28.34%,路外人群检出率为20.02%,检出率比较差异有统计学意义(χ2=120.4911,P<0.01)。男女比例为3.69∶1,检出率分别为28.92%、20.73%;检出率比较差异有统计学意义(χ2=145.3216,P<0.01)。平均年龄为39.5岁,DU以31~40岁居多,GU及CU以41~50岁居多。结论PU检出率铁路职工较路外人群高;DU多于GU,CU最少。PU好发于气温易变的冬春季节。病变好发部位DU以球部前壁与大弯为多,GU以胃窦与胃角为多。PU发病高峰年龄为31~50岁。并发症以出血为最多。
Objective To investigate the pathogenesis of peptic ulcer (PU). Methods 22 cases of endoscopic diagnosis of PU cases were statistically analyzed. Results A total of 5678 cases (26.67%) of PU patients were detected in all the examined patients, including 2721 cases of duodenal ulcer (DU), 4789 cases of gastric ulcer (GU), 4389 cases of gastric ulcer (GU) ) 468 cases (8.24%). The detection rate of railway workers was 28.34%, and the detection rate of people outside the road was 20.02%. The detection rate was significantly different (χ2 = 120.4911, P <0.01). The ratio of male to female was 3.69:1, the detection rates were 28.92% and 20.73% respectively. The detection rate was significantly different (χ2 = 145.3216, P <0.01). The average age was 39.5 years old, DU was mostly 31 to 40 years old, GU and CU mostly 41 to 50 years old. Conclusion The detection rate of PU in railroad workers is higher than that in off-road people; DU is more than GU, and CU is the least. PU occur in the temperature of the volatile spring and winter. Lesions prone to the front of the DU ball to the greater curvature of the front, GU to the stomach and stomach angle more. The peak age of PU onset is 31 to 50 years old. Complications with bleeding up to.