CAJ | 학술논문

目的：对肛肠外科疾病留观患者进行统计，了解肛肠外科疾病留观患者的特性。方法对本院2011年1月至2012年12月收治的肛肠外科疾病患者400例进行统计分析、并对患者心理进行评估。结果肛肠疾病由高到低依次为痔疮161例、肛周脓肿77例、肛裂69例、肛瘘56例、肿瘤19例和其他18例。其中女性痔疮为91例，高于男性70例（χ2＝5．38，P＜0．05）；女性肛裂为25例，低于男性44例（χ2＝6．04，P＜0．05）；不同年龄肛肠疾病由高到低依次为45～59岁170例、60岁～141例、25～44岁82例、15～24岁7例。其中45～59岁人群中肿瘤（30例）和肛瘘（12例）较多，均高于15～24岁和25～44岁（χ2＝5．47，5．86，P＜0．05），且痔疮高于15～24岁人群但是低于25～44岁人群（χ2＝6．11，5.90，P＜0．05）；45～59岁人群痔疮、肿瘤和肛瘘均高于15～24岁人群（χ2＝6．05，5．92，5．87，P＜0．05）；25～44岁人群痔疮和肛裂均高于15～24岁人群（χ2＝6．13，5．98，P＜0．05）；女性抑郁、恐惧和焦虑分别为3．51±1．06、4．48±1．20和4.11±1．07，均高于男性（t＝4．57，5．23，5．61，P＜0．05）；60岁～抑郁、恐惧和焦虑分别为4．43±1．25、4．51±1．19和4．38±1.28，均高于15～24岁和25～44岁（t＝6．50，5．33，5．52，P＜0．05）；45～59岁在抑郁、恐惧和焦虑等均高于15～24岁人群，且抑郁高于15～24岁人群（t＝4．38，5．17，4．92，P＜0．05）。结论痔疮、肛周脓肿、肛裂、肛瘘等是主要肛肠疾病，主要发生在中老年；抑郁、恐惧和焦虑等方面，女性高于男性，年长者高于年轻者。
목적：대항장외과질병류관환자진행통계，료해항장외과질병류관환자적특성。방법대본원2011년1월지2012년12월수치적항장외과질병환자400례진행통계분석、병대환자심리진행평고。결과항장질병유고도저의차위치창161례、항주농종77례、항렬69례、항루56례、종류19례화기타18례。기중녀성치창위91례，고우남성70례（χ2＝5．38，P＜0．05）；녀성항렬위25례，저우남성44례（χ2＝6．04，P＜0．05）；불동년령항장질병유고도저의차위45～59세170례、60세～141례、25～44세82례、15～24세7례。기중45～59세인군중종류（30례）화항루（12례）교다，균고우15～24세화25～44세（χ2＝5．47，5．86，P＜0．05），차치창고우15～24세인군단시저우25～44세인군（χ2＝6．11，5.90，P＜0．05）；45～59세인군치창、종류화항루균고우15～24세인군（χ2＝6．05，5．92，5．87，P＜0．05）；25～44세인군치창화항렬균고우15～24세인군（χ2＝6．13，5．98，P＜0．05）；녀성억욱、공구화초필분별위3．51±1．06、4．48±1．20화4.11±1．07，균고우남성（t＝4．57，5．23，5．61，P＜0．05）；60세～억욱、공구화초필분별위4．43±1．25、4．51±1．19화4．38±1.28，균고우15～24세화25～44세（t＝6．50，5．33，5．52，P＜0．05）；45～59세재억욱、공구화초필등균고우15～24세인군，차억욱고우15～24세인군（t＝4．38，5．17，4．92，P＜0．05）。결론치창、항주농종、항렬、항루등시주요항장질병，주요발생재중노년；억욱、공구화초필등방면，녀성고우남성，년장자고우년경자。
Objective The patients of the department of anus &intestine surgery were analyzed on their characteristic. Methods 400 patients of the department of anus &intestine surgery in our hospital from January 2010 to December 2012 were evaluated the patients psychology on the gender and age of patients.Results The anorectal diseases from high to low were hem-orrhoids 161, perianal abscess 77, anal fissure 69, anal fistula 56, tumor 19 and the others 18.The female hemorrhoids was 91, higher than that of the male 70 (χ2=5.38,P<0.05);Anal fissure of female was 25, lower than that of the male 44 (χ2=6.04, P<0.05).Different age anorectal diseases from high to low were 45~59 years old 170, 60 years old~141, 25~44 years old 82, 15~24 years old 7.The tumor (30 case)and anal fistula (12 case) of 45~59 years old were higher than those of 15~24 years and 25~44 years old(χ2=5.47,5.86,P<0.05).Hemorrhoids were higher than that of 15~24 year olds but lower than that of 25~44 group (χ2=6.11,5.90,P<0.05);The hemorrhoids, anal and cancer of 45~59 group were higher than that of 15~24 year old group (χ2=6.05,5.92,5.87,P<0.05);hemorrhoids and anal fissure of 25~44 group were higher than those of 15~24 years old (χ2=6.13,5.98,P<0.05).The depression, fear and anxiety of female were 3.51 ±1.06, 4.48 ±1.20 and 4.11 ±1.07, higher than that of the male (t=4.57,5.23,5.61,P<0.05);Depression, fear and anxiety of 60 years old~were 4.43 ±1.25, 4.51 ±1.19 and 4.38 ±1.28, were higher than those of 15~24 years old and 25~44 years old ( t=6.50, 5.33,5.52,P<0.05);Depression,fear and anxiety of 45~59 years old were significantly higher than those 15~24 years old, and depression is higher than that of 25~44 group (t=4.38,5.17,4.92,P<0.05).Conclusion Hemorrhoids, anal fistula, a-nal fissure, is the main anorectal diseases, mainly occurs in the elderly; depression, fear and anxiety of women and older than those of men and the young .