新装修房居住者胃炎流行病学调查

Epidemiologic Survey and Clinical Rudiment Observation of Gastritis Resident in Newly Decorated Residences

目的探索三峡库区移民装修新房居住者与胃病的发病关系、发病率、发病特点和防治方法。方法从13175移民中筛选出患有上腹不适的患者4109人进性检查、随访和分析。装修新房居住者占2533人,占37.21%;未装修新房居住者占1576人,占24.75%;前者做胃镜检查871人,占34.38%,后者做胃镜检查406人,占25.76%,并检查幽门螺杆菌;同时对装修房做毒物检测,对居室毒物增高和不增高居住者的发病情况做对照,并对有诚意配合随访的装修新房居住者和未装修新房居住者进行了6年对比随访。结果装修新房居住者胃病发病率为37.21%;未装修新房居住者占为24.75%,两组对照有显著性差异;发病特点胃镜检查显示装修新房居住者患红斑性胃炎293人,慢性浅表性胃炎329人,糜烂性胃炎163人,胃多发性溃疡45人,壶腹部溃疡29人,复合溃疡12人。未装修房居住者患病情况分别为218人、107人、53人、15人、9人和4人。苯和甲醛浓度对其胃病发病情况也呈现明显差异。装修新房居住者幽门螺杆菌的感染率为3%～5%。胃黏膜活检结果两组均为慢性炎症。6年随访提示装修房居住者入住第一年发病率较高,第二年胃病患者明显减少,二年以后与未装修房居住者对比无明显区别。结论移民居住装修新房者居室毒物检测和胃镜检查提示,装修房毒物超标与不超标居住者患病情况比较显示前者高于后者,其患病情况做比较显示居室残溜的毒物高低与胃病发病率有一定关系,提示移民居住装修新房后不适症状和胃病变化与甲醛、苯等毒物的毒性做用影响有一定关系。

Objective To explore the invasion relationship,attack rate,invasion feature,methods of prevention and cure about gastritis resident in newly decorated residences.Methods 4109 patients who worry epigastric discomfortwere were examined,follow-up visited,analysesed form 13175immigrations.2533gastritis residents in newly decorated residences,account37.21%.1576 gastritis residents in unnewly decorated residences,account 24.75%,871 patients were examined by gastroscope in the former,account 34.38%.the latter were 406,account 25.76%.Helicobacter pylori was also examined.While fitting room for toxicological testing,Increased and non-toxic to the bedroom increased the incidence of residents as control,And in good faith with the follow-up of residents and non-decorated new home renovation new house occupants were 6-year comparative follow-up.Results Fitting new home dwellers stomach incidence was 37.21%,gastritis residents in unnewly decorated residences was 24.75%,The two groups was significant difference,293 people suffering from gastritis erythema,patients of chronic superficial gastritis was 329,patients of erosive gastritis was 163,patients of multiple ulcer was 45,patients of duodenal bulb ulcer was 29,patients of complex ulcer was 12.The prevalence of not fitting room occupants were 218 people,107 people,53,15,9 and 4.Benzene and formaldehyde concentration on their stomach also show significant differences in the incidence.Fitting new home occupants 3%~5% infection rate of Helicobacter pylori.Gastric biopsy results were two groups of chronic inflammation.6 year follow-up prompted residents decorated room occupancy rate in the first year of a higher incidence,the following year significantly reduced in patients with stomach,After two years compared with non-renovated room occupants was no significant difference.Conclusion Fitting room poison superscalar superscalar residents and non-comparison shows that the prevalence of the former than the latter.The level of residual poison bedroom slide with a certain relationship between the incidence of stomach.So tip immigrants live renovated new home,and stomach discomfort after the change and formaldehyde,benzene and other toxic effect of the toxic effects of certain relations.