北京29所医院1999年度消化性溃疡患病情况分析

Analysis of detectable peptic ulcer in 29 hospitals of Beijing area in 1999

目的了解北京地区消化性溃疡的发病情况及变化特点。方法回顾性分析北京地区29所医院1999年胃镜检查消化性溃疡的临床资料,并与北京地区前两次统计结果及国内部分城市统计结果相比较。结果在64874例胃镜检查中,检出消化性溃疡8832例,检出率为13.61%。其中十二指肠溃疡6179例,占69.96%;胃溃疡2058例,占23.30%;其他溃疡(包括复合溃疡和吻合口溃疡)595例,占6.74%。三级医院消化性溃疡检出率为13.16%,二级医院为19.11%(P<0.01)。城区医院消化性溃疡检出率13.23%,近郊区医院为13.55%,远郊区医院为20.59%(与前两者相比,P<0.01)。北京市市民消化性溃疡检出率为13.83%,外地来京人口为11.62%(P<0.01)。结论(1)北京地区消化性溃疡患病率呈逐渐下降趋势,特别是十二指肠溃疡,但十二指肠溃疡患者仍明显多于胃溃疡。(2)与国内其他地区相比,北京地区消化性溃疡的发病率低于南方大城市,而高于东北和西北地区;提示自北向南消化性溃疡的发病率呈逐渐升高趋势。

Objective To investigate the prevalence and characteristic alterations of the peptic ulcer in Beijing area. Methods Retrospective analysis of clinical data of peptic ulcer collected from 29 hospitals of Beijing area in 1999. Results 8 832 cases of peptic ulcer were found from 64 874 cases of gastroscopy with detecting rate of 13.61%. Among these peptic ulcer patients,6 179 cases were found to have duodenal ulcer,accounting for 69.96% of the total cases of peptic ulcer;2 058 cases gastric ulcer,23.30%of the total cases with the ratio of 3:1 between these two subgroups.The rest 595 cases of other ulcer types , including complex ulcer and marginal ulcer accounted for 6.74% of the total cases.The detecting rates of peptic ulcer were 13.16%,19.11%, 13.23%,13.55%,20.59%in the tertiary hospitals, secondary hospitals (P< 0.01) urban hospitals suburban hospitals and countryside hospitals respectively(P< 0.01). The detecting rates of peptic ulcer were 13.83% and 11.62% in local residents and immigrants of Beijing area respectively(P< 0.01).Conclusion (1)Compared with 2 previous epidemiological survey of peptic ulcer , the incidence of peptic ulcer presented with a tendency of gradual decrease, especially for duodenal ulcer. However, the incidence of duodenal ulcer was still much higher than that of gastric ulcer .(2)In comparison with areas other than Beijing, the incidence of peptic ulcer in Beijing area was lower than that of large cities to the south of Yangtze River,but higher than that of Northeast and Northwest area, suggesting that the incidence of peptic ulcer in different areas from the north to south demonstrated a gradual increasing tendency.