CAJ | 학술논문

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。
목적：초보탐토해남소화문진환자적질병보특점，위진일보개전전국다중심연구열대기후대소화질병적영향주준비。방법통과문권적형식，조사해방군총의원해남분원소화과2012년12월，2013년3월、6월、9월문진환자소화계질병보적분포정황。결과발방문권778빈，합격문권743빈，합격솔위95.5%。입선743례중남성408례，녀성335례，평균년령(43.6±15.4)세；본지인군480례，“후조인군”159례，유객인군104례。삼조인군적전염병환병솔비교차이유통계학의의(P=0.022)，기중이을간최위현저，본지인군、후조인군환병비례고우유객인군(P<0.05)；삼조인군중급성위장염화위식관반류병환병솔비교차이유통계학의의，연구현시유객인군급성위장염화위식관반류병환병비례고우본지인군、후조인군(P<0.05)；삼조간적유문라간균(HP)감염솔비교차이유통계학의의，차본지인군、후조인군균고우유객인군(P<0.05)。소화계종류、간담이계질병삼조간비교차이무통계학의의(P>0.05)。결론열대기후대소화계질병보유작용，진일보개전전국다중심연구열대기후대소화질병적간예흔유필요。
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'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.