摘要
【目的】了解急性胰腺炎在广州地区的发病规律和特点。【方法】采用回顾性调查方法对广州中医药大学第一附属医院1996年至2004年9年间所有住院治疗的273例急性胰腺炎患者的发病时间、季节，患者的性别、年龄、病程的分布以及疾病转归和证候特点等方面进行分析，以了解广州地区急性胰腺炎的发病规律和特点。【结果】从时间分布上看，广州地区的急性胰腺炎的发病率有逐年上升的趋势；从发病季节上看，夏季急性胰腺炎的发病率相对较少，而冬季的发病率明显升高；从性别分布上看，广州地区急性胰腺炎的性别比例接近1：1，男女没有明显差别；从年龄分布上看，20岁以下青少年发病率很低，20～39岁年龄段的发病率最高，40～79岁相对处于一个平台期，发病率有所下降，80岁以上发病率急剧下降；从病程来看，其频数峰值在1周左右，即大多数1～2周内可好转出院；从疾病转归来看，经过中西医结合及时救治，72．9％痊愈，病死率为2．9％；从中医证候特点来看，广州地区的急性胰腺炎患者大多表现为肝胆湿热（69．9％），其次为肝郁气滞（11．7％），痰瘀阻络、中脏虚寒和阳明腑实证型最少（分别为7．8％、7．3％和3．4％）。【结论】广州地区急性胰腺炎在近10年中发病呈逐年上升趋势；发病年龄集中在中青年；中医证候大部分表现为肝胆湿热型；发病的季节多在冬春寒凉及节假日集中的季节，表明该病发病与地区经济发展后饮食不节的生活方式有关，应引起有关部门的重视。
A retrospective analysis was carried out in 273 AP inpatients hospitalized in the First Affiliated Hospital of Guangzhou University of TCM from 1996 to 2004. The onset time, seasonal distribution, syndrome patterns and prognosis the female had the same incidence （ the ratio approaching to 1 ： 1 ）. In tenns of age, there was a lower incidence in teenagers and the highest in the group aged 20 to 39. The incidence reached a plateau in the group aged 40 to 79 and sharply decreased in the group aged 80 and over. In tenns of disease course, the majority of the AP patients were much improved and left hospital within 1 -2 week （s） and the frequency valve arrived at the peak about one week later. In tenns of the prognosis, 72.9% of the patients were cured after timely traditional Chinese and western medicine treatment, the fatality rate being 2.9%. In tenns of syndrome patterns of AP, damp-heat in the liver-gallbladder accounted for 69.9 %, liver and Qi stagnation 11.7 %, phlegm-stasis blocking collaterals 7.8 %, deficiency-cold in fuorgans 7.3% and excess in Yangmingfu-organ 3.4%. [Conclusion] to increase in recent years, the young and the middle aged have the The incidence rate of AP in Guangzhou area tends highest incidences, most cases are manifested as damp-heat in the liver-gallbladder pattern, and AP attack usually occurs in winter and spring, and holidays, indicating that AP attack has a relation with unhealthy lifestyle, especially improper diet, in developed areas. This should be taken into consideration by the department concerned.
出处
《广州中医药大学学报》
CAS
2006年第3期214-217,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
胰腺炎/流行病学
广东
PANCREATITIS/epidemiology
GUANGDONG
