上下胃肠道出血:对伊朗东南部10年经验的回顾性研究
Alireza Bakhshipour1, Raheleh Rafaiee2
1Professor, Infectious Diseases and Tropical Medicine Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan, Iran.
Middle East journal of digestive diseases
|August 7, 2023
概括
胃肠道出血 (GIB) 是常见的,胃潰瘍是上部GIB的主要原因,是下部GIB的主要原因. 这两种情况都比女性更严重地影响男性,并且随着年龄的增长而增加.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 流行病学 流行病学
背景情况:
- 胃肠道出血 (GIB) 是一个频繁的医疗紧急情况,具有显著的发病率,死亡率和医疗保健费用.
- 了解上部GIB (UGIB) 和下部GIB (LGIB) 的内镜发现对于有效管理至关重要.
- GIB病因的区域差异需要进行本地流行病学研究.
研究的目的:
- 分析伊朗Sistan和Baluchestan上部和下部GIB的内镜评估.
- 确定该地区GIB的主要原因和人口结构模式.
- 为更新诊断和管理策略提供数据.
主要方法:
- 从10年 (2011-2020年) 的5862个GIB患者报告的回顾性分析.
- 包括阿里·伊本·阿比塔勒布医院5053名成年患者的内镜和结肠镜数据.
- 使用千平方测试对年龄,性别和内镜诊断进行统计比较.
主要成果:
- 胃潰瘍病是UGIB最常見的原因 (29.7%),而是LGIB最常見的原因 (44.2%).
- UGIB影响了60.8%的患者,而LGIB影响了39.2%.
- 马洛里-韦斯综合征在40岁以下的人群中更为普遍,而恶性瘤的风险随着40岁以上的年龄增加.
结论:
- 胃肠和胃肠道静脉是UGIB的主要原因,主要在男性中.
- 和裂是LGIB的主要原因.
- GIB发病率随着年龄的增长而上升,在男性中更为常见,这凸显了需要更新区域疾病谱知识的需要.
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