摘要
目的 研究上消化道出血病因的变化趋势、探讨根除幽门螺杆菌 (Helicobacterpylori,Hp)治疗对上消化道出血疾病谱的影响。方法 回顾分析我院 1999年～ 2 0 0 2年的胃镜检查资料。结果 共检出上消化道出血 15 6 6例 ,其中 :消化性溃疡 5 95例 ,反流性食管炎 2 0 5例 ,急性胃黏膜病变 5 2 1例 ,癌症 89例 (食管癌 5 0例、胃癌 39例 ) ,食管静脉曲张 15 6例。消化性溃疡是上消化道出血的主要原因 ,上消化道出血及消化性溃疡的发病率在逐渐减少 ,Hp感染趋势下降 ,反流性食管炎逐渐增多。结论 上消化道出血及消化性溃疡发病的减少 ,反流性食管炎的增多 。
Objective To investigate the changeful trend on the origin of upper gastrointestinal hemorrhage and discuss the effects of Hp clearance on diseases with upper gastrointestinal hemorrhage. Methods Gastroscopy records from 1999 to 2002 were analysed.Results l 566 patients with upper gastrointestinal hemorrhage were found by gastroscopy,including 595 patients with peptic ulcer,205 reflux esophagitis,521 acute gastric mucosa disease, cancer 89 cases,(50 gsophageal caricinoma,39 gastric carcinoma)and 156 esophageal varicosity.The main origin of the upper gastrointestinal hemorrhage was the peptic ulcer.The attack rates of upper gastrointestinal hemorrhage and peptic ulcer and the trend of Hp imfection were decreasing,but the attack rate of reflux esophagitis was increasing.Conclusion The decreasing attack rates of upper agstronitesitnal hemorrhage and peptic ulcer and the increasing rate of reflux esophagitis may be correlative to Hp clearance.
出处
《医药论坛杂志》
2004年第21期15-16,共2页
Journal of Medical Forum
