海南地区消化疾病谱初步调查研究  

Preliminary investigation on the digestive disease spectrum in Hainan province

作　　者：罗开发 李闻[2] 王永华[2] 王巍峰[2] 李贞[2] 孟科[3] 赵丽[3] 王婷婷[3] 

机构地区：[1]中国人民解放军281医院呼吸消化科,河北秦皇岛066100 [2]中国人民解放军总医院消化内科,北京100853 [3]中国人民解放军总医院海南分院消化内科,海南三亚572013

出　　处：《海南医学》2015年第18期2785-2788,共4页Hainan Medical Journal

基　　金：海南省卫生厅2013重点课题(编号:SQ2014SHFZ0125)

摘　　要：目的初步探讨海南消化门诊患者的疾病谱特点,为进一步开展全国多中心研究热带气候对消化疾病的影响做准备。方法通过问卷的形式,调查解放军总医院海南分院消化科2012年12月,2013年3月、6月、9月门诊患者消化系疾病谱的分布情况。结果发放问卷778份,合格问卷743份,合格率为95.5%。入选743例中男性408例,女性335例,平均年龄(43.6±15.4)岁;本地人群480例,"候鸟人群"159例,游客人群104例。三组人群的传染病患病率比较差异有统计学意义(P=0.022),其中以乙肝最为显著,本地人群、候鸟人群患病比例高于游客人群(P<0.05);三组人群中急性胃肠炎和胃食管反流病患病率比较差异有统计学意义,研究显示游客人群急性胃肠炎和胃食管反流病患病比例高于本地人群、候鸟人群(P<0.05);三组间的幽门螺杆菌(HP)感染率比较差异有统计学意义,且本地人群、候鸟人群均高于游客人群(P<0.05)。消化系肿瘤、肝胆胰系疾病三组间比较差异无统计学意义(P>0.05)。结论热带气候对消化系疾病谱有作用,进一步开展全国多中心研究热带气候对消化疾病的干预很有必要。Objective To explore the disease spectrum characteristics of Department of Gastroenterology in Hainan, to lay basis for the further development of a national multicenter study of tropical climate effects on digestive diseases. Methods By questionnaires, the changes and distribution of outpatients with digestive disease spectrum was investigated in Dec. 2012, Mar., Jun., Sep. 2013 in Department of Gastroenterology, Hainan Branch, the General Hospi-tal of Chinese People＆#39;s Liberation Army. Results Of the 778 questionnaires issued, 743 questionnaires were qualified （with the qualification rate of 95.5%）, involving 408 males and 335 females, with the mean age of （43.6 ± 15.4） years. Among the 743 patients, there were 480 cases of local population, 159 cases of migratory population, 104 cases of tourists. The prevalence of infectious diseases in the three groups of population showed statistically significant difference （P=0.022）. The most significant disease was hepatitis B, the prevalence of which was significantly higher in local population,migratory population than the tourists （P〈0.05）. The prevalence rate of acute gastroenteritis and gastroesophageal reflux disease （GERD） showed statistically significant difference between the three groups, which was significantly higher in tour-ists than local population and migratory population （P〈0.05）. The H. pylori infection in the local population and migratory population was significantly higher than that in the tourists （P〈0.05）. The prevalence of hepatobiliary diseases and diges-tive tumors showed no statistically significant difference between the three groups （P〉0.05）. Conclusion Tropical cli-mate has an effect on digestive disease spectrum. It is necessary to further carry out the national multicenter study to in-vestigate the influence of tropical climate on the spectrum of digestive diseases.

关 键 词：消化系疾病 气候 海南 

分 类 号：R57[医药卫生—消化系统]