日本胃肠道出血住院病例的全国趋势
Chikamasa Ichita1,2, Tadahiro Goto3,4,2, Akiko Sasaki1
1Gastroenterology Medicine Center, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa 247-8533, Japan.
Journal of clinical biochemistry and nutrition
|July 29, 2024
概括
日本的胃肠道出血 (GIB) 住院趋势显示出显著的转变. 上部GIB的比率下降,而下部GIB,包括结肠分管出血和缺血性结肠炎,大幅增加.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 胃肠道出血 (GIB) 是致病的主要原因之一.
- 在此之前,日本GIB趋势的全国数据并不存在.
- 了解这些趋势对于有效的医疗保健管理至关重要.
研究的目的:
- 分析2012年至2019年日本GIB住院趋势的国家数据.
- 确定需要住院治疗的GIB类型的变化.
- 为GIB管理提供临床重点和资源配置的信息.
主要方法:
- 对日本国家数据库采样数据 (2012-2019) 的分析.
- 对六种主要GIB类型的年度住院率的评估.
- 对出血性胃潰瘍,十二指腸潰瘍,食道水出血,結腸動性出血,缺血性大腸炎和直腸潰瘍的比率進行比較.
主要成果:
- 出血性胃的住院率显著下降.
- 结肠分管出血的发生率增加了一倍以上.
- 缺血性结肠炎的发病率增加了1.6倍.
- 到2017年,下部GIB (结肠分泌器出血,缺血性结肠炎) 在住院率方面超过了上部GIB (出血性胃潰瘍).
- 在十二指肠,食道水出血或直肠方面没有观察到显著的变化.
结论:
- 截至2017年,GIB住院病例的显著转变发生了,从上部到下部胃肠道来源发生了明显的转变.
- 这一趋势表明临床优先事项和资源分配需求可能发生变化.
- 进一步研究这种转变的原因和影响是有必要的.
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