摘要
目的探讨阿坝高原藏区反流性食管炎(RE)患者临床特点。方法回顾性分析467例RE患者的民族、性别、年龄分布、病变分级、症状、伴发病及发病率等资料。结果检出RE 467例,检出率5.94%。其中男289例,女178例,男女比例1.62∶1。患者年龄与病变级别成正相关(P=0.006)。藏族RE检出率6.62%,男女检出比1.62:1,差异有统计学意义(P<0.001);汉族RE检出率3.72%,男女检出比1.65∶1,差异无统计学意义(P=0.264)。伴发糜烂性胃炎占17.3%,胃溃疡、十二指球部溃疡、复合性溃疡占12.34%,食管裂孔疝(HH)占4.92%。症状中上腹不适占66.5%。结论高原地区藏族患者RE检出率高于汉族,藏族男性检出率高于女性,伴发疾病以糜烂性胃炎、消化性溃疡、胆汁性胃炎等为主。
Objective To investigate the clinical characteristics of reflux esophagitis （RE） in Aba Tibetan plateau areas. Methods The data of the minority, gender, age distribution, concomitant disease and morbidity of 467 RE patients were retrospectively analyzed. Results There were 467 patients with RE and the detection rate was 5.94%. Of these patients ,289 were male and 178 were female. The total gender ratio was 1.62 ： 1. The age of the patients was positively correlated with the lesion level （ P = 0. 006）. The RE detection rate in Tibetan patients was 6. 62%. The detection of gender ratio was 1.62 ： 1. The difference was significant （ P 〈 0. 001 ）. The RE detection rate in Han population was 3.72%. The gender ratio was 1.65 ： 1. The difference was not significant （ P = 0. 2647）. There were 17. 3% RE patients with erosive gastritis, 12. 34% with gastric ulcer,duodenal bulbar ulcer or compound ulcer, 4. 29% with hiatus hernia （HH） and 66. 5% with symptom of epigastric discomfort. Conclusion The RE detection rate of Tibetan pa- tients is apparently higher than Han population and male is apparently higher than female. The main concomitant diseases are erosive gastritis, gastric ulcer and bile gastritis.
出处
《实用医院临床杂志》
2016年第5期145-147,共3页
Practical Journal of Clinical Medicine
关键词
反流性食管炎
内镜
诊断
病例分析
Reflux esophagitis
Endoscope
Diagnosis
Case analysis
