慢性萎缩性胃炎患者临床流行病学分析

发布时间：2018-07-31 09:47

【摘要】：目的了解慢性萎缩性胃炎(CAG)的临床特征。方法随机抽取2011年6月—2016年6月在黑龙江省大庆油田总医院行胃镜和胃粘膜检查的2 532例患者的临床资料,分析CAG的流行病学特点。结果 2 532例患者中,CAG患者523例,占20.66%,25例CAG患者因个人原因未能完成调查,最终纳入研究者498例。498例CAG患者中男性302例(60.64%),女性196例(39.35%),男女比例为1.54:1;CAG在30岁之前患者中的构成比为7.83%,在30岁以后呈直线上升,并在51~60岁达到发病高峰,60岁后逐渐下降。CAG患者中有幽门螺旋菌感染、吸烟、饮酒、饮食不规律以及水果摄入量低、腌制食品摄入量高和新鲜蔬菜摄入量低的患者所占比例明显高于无幽门螺旋菌感染、不吸烟饮酒、饮食规律以及水果摄入量高、腌制食品摄入量低和新鲜蔬菜摄入量高者(P0.05)。结论黑龙江地区CAG的发病率较高,且多与该地区生活饮食习惯有关,应引起重视并采取相应预防对策减少CAG的发生。
[Abstract]:Objective to investigate the clinical features of chronic atrophic gastritis (CAG). Methods the clinical data of 2 532 patients undergoing gastroscopy and gastric mucosal examination in Daqing Oilfield General Hospital of Heilongjiang Province from June 2011 to June 2016 were randomly selected and the epidemiological characteristics of CAG were analyzed. Results among the 2 532 patients, 523 cases (20.6666%) with CAG were not able to complete the investigation for personal reasons. The final study included 498 patients with CAG, including 302 males (60.64%) and 196 females (39.35%). The ratio of male to female was 1.54: 1CAG, which was 7.83% in patients before the age of 30, and increased linearly after 30 years of age. The incidence of Helicobacter pylori infection, smoking, drinking, eating irregularly and low fruit intake in patients with CAG decreased gradually after reaching the peak age of 51 to 60 years. The proportion of patients with high intake of pickled food and low intake of fresh vegetables was significantly higher than that of patients without Helicobacter pylori infection, no smoking, high dietary regularity and high intake of fruit, low intake of pickled food and high intake of fresh vegetables (P0.05). Conclusion the incidence of CAG in Heilongjiang is high, and it is related to the living and eating habits in this area. Therefore, attention should be paid to the incidence of CAG and the corresponding preventive measures should be taken to reduce the incidence of CAG.
【作者单位】：大庆油田总医院外科门诊;大庆油田总医院骨科;大庆油田总医院消化内科;大庆油田总医院药剂科;延边大学基础医学院预防医学教研部;
【分类号】：R573.32

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