渔民消化性溃疡684例临床分析

Clinical analysis of 684 fisherfolk with peptic ulcer

目的研究渔民消化性溃疡的临床特点及内镜下表现。方法将1995年1月至2006年10月期间所有经胃镜检查确诊为消化性溃疡(PU)患者2807例,分为渔民组及对照组(非渔民),观察其发病特点以及与海上作业时间的关系。结果渔民组PU检出率(36.8%)明显高于对照组(23.9%) (P<0.05),溃疡程度也较对照组严重。海上作业时间与PU成正相关。结论由于生活习惯及工作环境的特殊性,生活规律及饮食节律的失常,渔民容易患PU;海上作业时间越长,PU患病率越高。

Objective To study on clinical and endoscopic characteristics in fisherfolk with peptic ulcer （PU）. Methods Two thousand eight hundred and seven PU patients, which had been examined by gastric endoscopy and finally diagnosed as PU during January 1995 to October 2006, were divided into fisherflok group and control group （no-fisherfolk）. Endoscopic and clinical characteristics as well as relationship between them were observed and farther analysed. Results Detection rate （36. 8% ） of fisherfolk group was significantly higher than that （23.9%） of control group （P 〈 0.05 ） , and pathogenetic condition of PU was more serious in fisherfolk than in control group too. There was a positive correlation between PU and work time on the sea. Conclusions Particularity of living habit and work environment can usually result in disorder of life and diet rhythm, under the condition of which, fisherfolk tend to have PU especially. In addition, the longer of working time on the sea, the higher prevalence of PU.