1998-2004年度消化性溃疡患病情况分析

Analysis of the situation of detectable peptic ulcer in 1998-2004

目的了解保定地区7年来消化性溃疡的发病情况。方法回顾性分析两院1998年-2004年胃镜检查消化性溃疡的临床资料,并与国内部分城市统计结果相比较。结果在21330例胃镜检查中检出消化性溃疡2570例,检出率为12.05%,其中十二指肠溃疡1902例,占74%,胃溃疡616例,占23.97%,其他溃疡40例,占1.56%,城市消化性溃疡检出率7.54%,农村消化性溃疡检出率17.7%。结论消化性溃疡检出率呈逐年下降趋势,特别是十二指肠溃疡,但十二指肠溃疡仍多于胃溃疡;农村高于城市,溃疡检出率与其他地区相比,本院溃疡的检出率低于南方大城市,而高于东北和西北地区,与北京地区相当;提示自北向南消化性溃疡发生率呈升高趋势。

Objective To investigate the prevalence and characteristic alteration of the peptic ulcer in Baoding area. Methods The clinical data of peptic ulcer collected from our hospital in 1998- 2003 were analysized retrospectively. Results 2570 cases of peptic ulcer were found from 2130 cases of gastroscopy with detecting rate of 12.05%. Among these peptic ulcer patients, 1902 cases were found to have duodenal ulcer, accounting for 74% of the total case peptic ulcer; 616 cases with gastric ulcer, 23.97%of the total cases with the ratio of 3：1 between these two subgroups. The other 40 cases with other uler types, including complex ulcer and maginal ulcer accounted for 1.56% of the total cases the detecting rate of peptic ulcer were 7.54% and 17.7% in the city and countryside respectively. Conclusion Compared with 2 previous epidemiological survey of peptic ulcer, the incidence of duodenal ulcer was still much higher than that of gastric ulcer. In comparison with other areas, the incidence of peptic ulcer in our hospital was lower than that of large cities in the south of Yangtze River, but higher than that of Northeast and Northwest area, and similar with Beijing area. The results snggest that the incidence of peptic ulcer in different areas from the north to south demonsteate a gradual increasing tendency.