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目的:探讨青海东部农业区消化性溃疡的发病特点。方法:分析1995年1月—2009年12月6 298例胃镜检查患者。结果:在所有被检查患者中检出消化性溃疡844例(13.40%),其中男673例(19.09%),女171例(6.17%),男女之比为3.941。十二指肠溃疡514例(60.90%),胃溃疡289例(34.24%),复合溃疡41例(4.86%)。消化性溃疡平均年龄(47.3±18.5)岁,十二指肠球部溃疡平均年龄较胃溃疡小8.34岁。消化性溃疡发病高峰是春秋季节。汉族和藏族检出率分别为13.80%和13.95%,回族为11.53%。农民检出率为14.16%,工人13.85%,干部和学生分别为10.48%和8.61%。H.pylori感染检出率为80.89%。结论:消化性溃疡检出率男性高于女性,汉族和藏族高于回族和土族。胃溃疡好发于胃窦和胃角。农民和工人明显高于干部和学生。消化性溃疡好发于气候易变的春秋季节。且有逐年上升的趋势。H.pylori感染仍然是青海东部农业区消化性溃疡发病的主要病因之一。
Objective: To investigate the incidence of peptic ulcer in the agricultural area of eastern Qinghai. Methods: From January 1995 to December 2009, 6 298 cases of gastroscopy were analyzed. Results: 844 cases (13.40%) of peptic ulcer were detected in all examined patients, including 673 males (19.09%) and 171 females (6.17%), with a ratio of 3.94 1. 514 cases of duodenal ulcer (60.90%), 289 cases of gastric ulcer (34.24%) and 41 cases of complex ulcer (4.86%). The average age of peptic ulcer (47.3 ± 18.5) years old, duodenal ulcer average age of 8.34 years older than gastric ulcer. Peptic ulcer incidence peak is the spring and autumn season. The detection rates of Han and Tibetan were 13.80% and 13.95% respectively, while that of Hui nationality was 11.53%. The detection rate of peasants was 14.16%, workers were 13.85%, cadres and students were 10.48% and 8.61% respectively. The detection rate of H.pylori infection was 80.89%. Conclusion: The detection rate of peptic ulcer is higher than that of female, Han and Tibetan are higher than Hui and Tu nationality. Stomach ulcers occur in the antrum and stomach. Farmers and workers were significantly higher than cadres and students. Peptic ulcer occurs in the volatile spring and autumn season. And there is a trend of rising year by year. H.pylori infection is still one of the main causes of peptic ulcer in the eastern agricultural area of Qinghai.