摘要
目的探讨无痛与普通电子胃镜下食管相关疾病的检出率差异及患病人群性别、年龄特征。方法回顾性分析2014年11月—2019年11月中国中医科学院西苑医院内镜中心8643例成人电子胃镜资料,将其以不同方式分组。按其受检方式分为无痛组(4012例)和普通组(4631例),比较两组食管相关疾病检出情况。按性别分为男性组(3610例)和女性组(5033例);按年龄分为青年组(18~44岁,2916例)、中年组(45~59岁,3445例)、老年组(≥60岁,2282例),分析患病人群特征。结果无痛组口咽部病变、短食管、食管胃黏膜异位、乳头状瘤的检出率均高于普通组,念珠菌性食管炎、食管裂孔疝、食管癌、贲门失弛缓、贲门松弛、贲门扩张不良、贲门炎性改变的检出率均低于普通组,差异均有统计学意义(均P<0.05)。男性组口咽部病变、反流性食管炎、念珠菌性食管炎、食管裂孔疝、食管胃黏膜异位、食管早癌、食管癌、贲门松弛检出率均高于女性组,女性组短食管检出率高于男性组,差异均有统计学意义(均P<0.05)。青年组和老年组口咽部病变、反流性食管炎、念珠菌性食管炎、乳头状瘤、贲门松弛检出率均低于中年组,差异均有统计学意义(均P<0.017)。青年组短食管、食管裂孔疝、食管早癌、贲门扩张不良检出率低于中年组和老年组,食管胃黏膜异位、贲门炎性改变检出率低于中年组,高于老年组,且老年组短食管、食管胃黏膜异位、贲门炎性改变检出率低于中年组,差异有统计学意义(均P<0.017)。青年组食管癌、贲门失迟缓检出率均低于老年组,差异有统计学意义(均P<0.017)。结论两种胃镜检查方式对食管相关疾病检出各有优劣,可根据疾病特点,患病人群性别、年龄特征,从安全性及经济学角度选择符合成本-效价原则的内镜检查方式。
Objective To investigate the difference of detection rate of esophageal related diseases between painless and common electronic gastroscope and the gender and age characteristics of the affected population.Methods The data of 8643 adult electronic gastroscopes in the Endoscopy Center of Xiyuan Hospital,China Academy of Chinese Medical Sciences from November 2014 to November 2019 were retrospectively analyzed,they were grouped in different ways.According to the examination methods,they were divided into the painless group(4012 cases)and the ordinary group(4631 cases),and the detection of esophageal related diseases in the two groups were compared.According to gender,they were divided into male group(3610 cases)and female group(5033 cases).According to age,the patients were divided into young group(18-44 years old,2916 cases),middle ege group(45-59 years old,3445 cases)and old group(≥60 years old,2282 cases).The characteristics of the patients were analyzed.Results The detection rates of oropharyngeal lesions,short esophagus,stomach esophagus mucosa ectopic,papillary tumor in painless group were higher than those in ordinary group,the detection rates of candida esophagitis,hiatal hernia,esophageal cancer,cardiac relaxation loss,cardiac relaxation,poor cardiac dilatation and cardia inflammatory change were lower than those ordinary group,the differences were statistically significant(all P<0.05).The detection rates of oropharyngeal lesions,reflux esophagitis,candida esophagitis,hiatal hernia,stomach esophagus mucosa ectopic,early esophageal cancer,esophageal cancer and cardiac relaxation in the male group were higher than those in the female group,and the detection rate of short esophagus in the female group was higher than that in the male group,with statistical significance(all P<0.05).The detection rates of oropharyngeal lesions,reflux esophagitis,candida esophagitis,papillary tumor and cardiac relaxation in the young and old groups were all lower than those in the middle age group,with statistical significance
作者
柯俊
吴会晓
代晓彤
蔡毅东
KE Jun;WU Huixiao;DAI Xiaotong;CAI Yidong(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;School of Sports Human Science,Beijing Sport University,Beijing 100084,China)
出处
《中国医药导报》
CAS
2021年第16期78-81,共4页
China Medical Herald
基金
国家重点研发计划项目(2016YFC1302203)
北京市科技计划重点项目(D161100005116004)。
关键词
无痛电子胃镜
食管相关疾病
检出率
患病人群
Painless electronic gastroscope
Esophageal related diseases
Detection rate
Affected population
