急性阑尾炎发病现状的调查与分析

Investigation and analysis of the incidence of acute appendicitis today

我们自１９９０年１月至１９９３年１２月对经手术和病理证实为急性阑尾炎（ＡＡ）者进行了问卷调查，并与七十年代和八十年代同期的病人进行了比较，经统计学处理。结果发现近年来ＡＡ的住院率明显下降，女性患病率上升，１９岁以下青少年发病率下降，而６０岁以上老年人发病率显著上升，高发年龄组为３０～３９岁，职业仍以体力劳动者为主。临床主要表现无显著性变化，临床类型：单纯性显著增多，化脓性显著降低，坏疽和穿孔性无变化。

An investination by questionnaire in 582 cases with acute appendicitis (AA) comfinmed by pathologic section were compared and analysed between 1990-1993 and 1970-1980 in our department. The result showed that: the admission rate of AA decreased, the age of 30～39 (32. 82%) and the highest ualue of ratio in the whole age groups (P<0. 01). the ratio of male to female was 1: 1. The clinical type: as simple AA were increased (P<0. 01), ptlrulent cases were decreased (P<0.01), gangernous and perforative AA had no siquisicant change (P>0. 05). Profession and clinical symptom of thepaticnts showed no change.