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上海嘉定某社区736例消化性溃疡的特点分析

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龙源期刊网 http://www.qikan.com.cn 上海嘉定某社区 736 例消化性溃疡的特点分 析 作者:黄立新 来源:《上海医药》2018 年第 22 期 摘 要 目的:了解社区消化性溃疡的临床特点。方法:对 2010 年 7 月至 2017 年 6 月在上 海嘉定真新社区卫生服务中心就诊有上腹部隐痛、腹胀、纳差、嗳气、反酸等消化道症状的 2 575 例患者进行胃镜检查,其中男性 1 447 例,女性 1 128 例。对被胃镜检查诊断为消化性溃疡 的病例进行回顾性分析。结果:2 575 例受检者中共检出消化性溃疡(PU)736 例,检出率 28.6%,*均年龄 43.2 岁;其中男性 594 例,检出率为 41.1%,女性 142 例,检出率 12.6%; 在 PU 中,十二指肠溃疡(DU)476 例,胃溃疡(GU)225 例,复合溃疡(CU)35 例;DU 为 45 岁以下居多,GU 为 45 岁以上居多。春季 PU 检出率最高,在 PU 者中幽门螺旋杆菌 (Hp)的阳性率为 89.4%。结论:在社区 PU 患者中,以男性为主,DU 患病率最高,提示有 消化道症状的患者应及早行胃镜筛查消化性溃疡。 关键词 消化性溃疡;疾病特点;分析 中图分类号:R573.1 文献标志码:A 文章编号:1006-1533(2018)22-0053-03 Analysis of characteristics of 736 cases of peptic ulcer in a community in Jiading, Shanghai HUANG Lixin (Gastroscope Room of Zhenxin Community Health Service Center of Jiading District, Shanghai 201824, China) ABSTRACT Objective: To understand the clinical features of community peptic ulcer. Methods: From July 2010 to June 2017, 2 575 patients with upper abdominal pain, abdominal distention, anorexia, belching, acid reflux and other gastrointestinal symptoms who were treated in Zhenxin Community Health Service Center in Jiading, Shanghai were examined by gastroscopy, and among them, there were 1 447 males and 1 128 females. The cases diagnosed as peptic ulcer by gastroscopy were analyzed retrospectively. Results: A total of 736 cases of peptic ulcer(PU) were detected in 2 575 subjects, with a detection rate of 28.6% and an average age of 43.2 years; among them, 594 cases were male, the detection rate was 41.1% and 142 cases were female, the detection rate was 12.6%; in PU, duodenal ulcer(DU) was found in 476 cases, gastric ulcer(GU) in 225 cases, and compound ulcer(CU) in 35 cases; DU was mostly under 45 years old, and GU was more than 45 years old. The detection rate of PU was the highest in spring, and the positive rate of helicobacter pylori(Hp) in PU was 89.4%. Conclusion: Among 龙源期刊网 http://www.qikan.com.cn the PU patients in the community, males are the mainstay, and the prevalence of DU is the highest, which is suggested that patients with gastrointestinal symptoms should be screened for peptic ulcer by gastroscopy as soon as possible. KEY WORDS peptic ulcer; characteristics of disease; analysis 消化性溃疡(peptic ulcer,PU)是消化内科常见病与多发病。*年来消化性溃疡发病率虽 然有下降趋势,但目前仍然是常见的消化系统疾病之一[1]。本文旨在回顾性分析社区消化性 溃疡患病的特点。 1 资料与方法 1.1 一般资料 对 2010 年 7 月至 2017 年 6 月因上腹部隐痛、腹胀、纳差、嗳气、反酸等消化道症状在上 海市嘉定区真新社区卫生服务中心就诊的 2 575 例患者进行了胃镜检查,其中男性 1 447 例、 女性 1 128 例。 1.2 方法 所有患者均经日本富士能 WG-88FP 电子胃镜检查,分析患者的性别、年龄、季节、临床 表现



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