中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2009年
2期
90-92
,共3页
缪应雷%黄华丽%王光耀%杜艳%段丽平
繆應雷%黃華麗%王光耀%杜豔%段麗平
무응뢰%황화려%왕광요%두염%단려평
溃疡性结肠炎%克罗恩病%诊断
潰瘍性結腸炎%剋囉恩病%診斷
궤양성결장염%극라은병%진단
Inflammatory bowel diseases%Crohn'S disease%Diagnosis
目的:回顾性调查昆明市近10年炎症性肠病(IBD)患者的发病状况.方法:调查1998年1月-2007年3月七家综合性医院430例住院IBD患者,其中溃疡性结肠炎(UC)379例,克罗恩病(CD)51例.接受结肠镜、组织病理学和钡剂灌肠检查者在UC和CD患者中分别为98.2%和56.2%、2.6%和72.5%、78.4%和31.4%.对IBD患者的年龄、性别、职业、临床表现、内镜和组织病理学检查结果进行分析.结果:UC患者平均年龄为(46.9±15.8)岁,以30～39岁和50～59岁年龄段患者最多,呈双峰状分布;CD患者平均年龄为(41.6±17.2)岁,以20～29岁年龄段患者最多.UC和CD患者均以男性为主,UC患者中脑力劳动者多见.UC患者以腹泻(302,79.7%)、腹痛(285,75.2%)、血便(290,76.5%)为主.CD患者常见腹痛(44,86.3%)、腹泻(28,54.9%)、体重减轻(28,54.9%).UC患者内镜检查、病理检查、钡剂灌肠诊断符合率分别为88.4%(329/372)、24.4%(52/213)、4/10,CD患者分别为86.5%(32/37)、27.5%(11/40)、75%(12/16).UC患者100%为活动期,其中轻、中、重度分别为38.3%、42.2%和19.5%.CD患者活动期占92.2%,缓解期占7.8%,其中轻、中、重度者分别为15.7%、43.1%41.2%.结论:了解10年来昆明市的IBD发病情况及临床特征将有助于临床诊断和治疗.
目的:迴顧性調查昆明市近10年炎癥性腸病(IBD)患者的髮病狀況.方法:調查1998年1月-2007年3月七傢綜閤性醫院430例住院IBD患者,其中潰瘍性結腸炎(UC)379例,剋囉恩病(CD)51例.接受結腸鏡、組織病理學和鋇劑灌腸檢查者在UC和CD患者中分彆為98.2%和56.2%、2.6%和72.5%、78.4%和31.4%.對IBD患者的年齡、性彆、職業、臨床錶現、內鏡和組織病理學檢查結果進行分析.結果:UC患者平均年齡為(46.9±15.8)歲,以30～39歲和50～59歲年齡段患者最多,呈雙峰狀分佈;CD患者平均年齡為(41.6±17.2)歲,以20～29歲年齡段患者最多.UC和CD患者均以男性為主,UC患者中腦力勞動者多見.UC患者以腹瀉(302,79.7%)、腹痛(285,75.2%)、血便(290,76.5%)為主.CD患者常見腹痛(44,86.3%)、腹瀉(28,54.9%)、體重減輕(28,54.9%).UC患者內鏡檢查、病理檢查、鋇劑灌腸診斷符閤率分彆為88.4%(329/372)、24.4%(52/213)、4/10,CD患者分彆為86.5%(32/37)、27.5%(11/40)、75%(12/16).UC患者100%為活動期,其中輕、中、重度分彆為38.3%、42.2%和19.5%.CD患者活動期佔92.2%,緩解期佔7.8%,其中輕、中、重度者分彆為15.7%、43.1%41.2%.結論:瞭解10年來昆明市的IBD髮病情況及臨床特徵將有助于臨床診斷和治療.
목적:회고성조사곤명시근10년염증성장병(IBD)환자적발병상황.방법:조사1998년1월-2007년3월칠가종합성의원430례주원IBD환자,기중궤양성결장염(UC)379례,극라은병(CD)51례.접수결장경、조직병이학화패제관장검사자재UC화CD환자중분별위98.2%화56.2%、2.6%화72.5%、78.4%화31.4%.대IBD환자적년령、성별、직업、림상표현、내경화조직병이학검사결과진행분석.결과:UC환자평균년령위(46.9±15.8)세,이30～39세화50～59세년령단환자최다,정쌍봉상분포;CD환자평균년령위(41.6±17.2)세,이20～29세년령단환자최다.UC화CD환자균이남성위주,UC환자중뇌력노동자다견.UC환자이복사(302,79.7%)、복통(285,75.2%)、혈편(290,76.5%)위주.CD환자상견복통(44,86.3%)、복사(28,54.9%)、체중감경(28,54.9%).UC환자내경검사、병리검사、패제관장진단부합솔분별위88.4%(329/372)、24.4%(52/213)、4/10,CD환자분별위86.5%(32/37)、27.5%(11/40)、75%(12/16).UC환자100%위활동기,기중경、중、중도분별위38.3%、42.2%화19.5%.CD환자활동기점92.2%,완해기점7.8%,기중경、중、중도자분별위15.7%、43.1%41.2%.결론:료해10년래곤명시적IBD발병정황급림상특정장유조우림상진단화치료.
Objective To retrospectively investigate the characteristics of patients with inflammatory bowel disease (IBD)in last 10 years in Kunming city. Methods Four hundred and thirty consecutive patients with IBD, who had hospitalized in 7 hospitals between January 1998 to March 2007, were investigated. Among them, 379 patinets had ulcerative colitis (UC) and 51 had Crohn's disease (CD). The patients who received coloscopy, histopathological and bariam enema examination accunted for 98.2%, 56.2% and 2.6% in UC group,respectively, and 72.5%,78.4% and 31.4% in CD group,respectively. The gender, age, occupation and the clinical manifestation of the patients, and the results of the colonoscopy and pathological examination were analyzed. Results Most of the UC patients were aged 30 to 39 years and 50 to 59 years with average age of (46.9±15.8) years, whereas CD patients were aged 20 to 29 years with average age of (41.6±17.2)years. The male and urban patients were predominat in both UC and CD groups. Mental workers were common in UC group. The symptoms of diarrhea (302,79.7%), abdominal pain (285,75.2%) and bloody stools (290,76.5%) were major events in UC patients, and those of abdominal pain (44,86.3%), diarrhea (28,54.9%) and weight loss (28,54.9%) were major events in CD patients. The coincidence ratio among colonoseopy, histopathology and bariam enema examinations was 88.4 % ( 329/372 ), 24.4 % ( 52/213 ) and 4/10 in UC patients, respectively, and 86.5%(32/37), 27.5%(11/40) and 75%(12/16) in CD patients, respectively. All of the UC patients were in active stage of disease,including 38.3 % in mild,42.2% in moderate and 19.5% in severe. In CD group, 7.8% was in relief stage and 92.2% in active stage,including 15.7% in mild,43.1% in morderate and 41.2% in severe.Conclusion The understanding of prevalence and clinical characteristics of IBD in last 10 years in Kunming city will be helpful in diagnosis and treatment of the disease.
