205例健康体检人群胃肠镜检查结果统计分析  

Statistical analysis of gastrointestinal endoscopy results of 205 healthy people

作　　者：刘玮[1] 贺照霞[1] 刘君颖[1] Liu Wei;He Zhaoxia;Liu Junying(Endoscopy Center,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院内镜中心,郑州450000

出　　处：《中国实用医刊》2021年第23期1-4,共4页Chinese Journal of Practical Medicine

基　　金：河南省中医药科学研究专项课题(2017ZY2099)。

摘　　要：目的探讨健康人群消化道疾病特征并分析胃肠镜检查在健康人群体检中的应用价值。方法回顾性分析2020年1月至2021年1月在河南省中医药大学第一附属医院内镜中心进行体检的205例健康人群的胃肠镜检查结果,并结合年龄、性别等因素对体检结果进行统计学分析。结果电子胃肠镜检查结果显示,健康体检人群中最主要的胃部疾病分别为慢性非萎缩性胃炎(90例,占75.6%)、胃糜烂(82例,占68.9%)、胃息肉(17例,占14.3%);最主要的肠道疾病为结肠息肉(47例,占54.7%)、直肠息肉(20例,占23.3%)。未发现胃癌,结肠癌检出率为1.2%。通过年龄、性别分布特征分析发现,胃息肉检出率女性高于男性,且40岁以上人群中的胃息肉检出率明显升高(P<0.05)。同时也发现十二指肠球炎、结肠息肉检出率在40岁以上男性人群中明显升高(P<0.05)。结论电子胃肠镜检查是健康体检人群及有症状就诊人群中胃肠道疾病、癌前病变及癌症的重要筛查手段。健康体检人群普及电子胃肠镜检查对胃肠道癌症的预防及早期癌症的诊断、干预具有重要的临床意义。Objective To investigate the characteristics of gastrointestinal diseases in healthy people,and to analyze the application value of gastrointestinal endoscopy in physical examination of healthy people.Methods Gastroscopy and colonscopy results were retrospectively analyzed from 205 healthy people who received physical examinations from January 2020 to January 2021 in Endoscopy Center of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine.Statistical analysis was conducted on the physical examination results based on the information of age and gender.Results The results of electronic gastrointestinal endoscopy showed that the most common gastrointestinal diseases in the healthy examination population were chronic non-atrophic gastritis(90 cases,75.6%),gastric erosion(82 cases,68.9%)and gastric polyps(17 cases,14.3%).The most common intestinal diseases were colon polyps(47 cases,54.7%)and rectal polyps(20 cases,23.3%).No gastric cancer was found in the study,and the detection rate of colon cancer was 1.2%.Results of distrbution analysis based on the information of the age and gender showed that the detection rate of gastric polyps in women was higher than that in men,and the detection rate of gastric polyps in people aged over 40 years was significantly higher(P<0.05).At the same time,it was also found that the detection rate of duodenitis and colon polyps were significantly higher in men aged over 40 years(P<0.05).Conclusions Electronic gastroenteroscopy is an important screening method for gastrointestinal diseases,precancerous lesions and cancer in healthy people and symptomatic people.Popularization of electronic gastrointestinal endoscopy among healthy people has an important clinical significance for the prevention of gastrointestinal cancer,and the diagnosis and intervention of early cancer.

关 键 词：健康体检 电子胃肠镜 消化道疾病 癌前病变 筛查 

分 类 号：R57[医药卫生—消化系统]