胃镜下非萎缩性胃炎临床流行病学回顾性分析

Retrospective Analysis of Clinical Epidemiology of Non-Atrophic Gastritis under Gastroscopy

摘要: 目的：研究分析胃镜下非萎缩性胃炎的诊断现状，为胃炎的胃镜诊断和治疗提供理论指导。方法：在查阅国内外胃镜下非萎缩性胃炎的相关文献资料的基础上，选取2016年3月至2018年4月我院消化内镜中心诊断为非萎缩性胃炎(胃镜下非萎缩性胃炎总计1650人)的病例为研究对象。结合患者的患病类型、性别、年龄及其他实验室检查为依据进行统计分析。结果：1) 2016年3月至2018年4月患胃镜下非萎缩性胃炎总计1650人，其中男性633人，占非萎缩性胃炎总数的38.36%，女性1017人，占非萎缩性胃炎总数的61.64%；2) 51~60岁非萎缩性胃炎患者占36.12%，61~70岁患者占28.30%；3) 非萎缩性胃炎伴有息肉患者为79人，息肉检出率为4.79%；4) 胃息肉中属于良性病变的有4例，在胃息肉患者中占5.06%，属于恶性病变的有4例，在胃息肉患者中占5.06%；5) 51~60年龄段伴有息肉占41.77%，61~70岁年龄段伴有息肉的患者占21.53%。结论：1) 胃镜下非萎缩性胃炎女性患病人数远远高于男性；2) 50岁以上的老年人群更容易患非萎缩性胃炎；3) 在非萎缩性胃炎中胃息肉有一定的检出概率；4) 非萎缩性胃炎胃息肉的患者中都有概率发生良性或恶性的病变；5) 超过50岁的非萎缩性胃炎的患者更易得胃息肉。

Abstract: Objective: To study and analyze the diagnosis status of non-atrophic gastritis under gastroscope, and to provide theoretical guidance for gastroscope diagnosis and treatment of gastritis. Methods: Based on the literature of non-atrophic gastritis under gastroscope at home and abroad, we selected the case of non-atrophic gastritis from March 2016 to April 2018 (1650 persons in total of non-atrophic gastritis under gastroscope). Statistical analysis was conducted in combination with the patient’s disease type, sex, age and other laboratory examinations. Results: 1) From March 2016 to April 2018, a total of 1650 patients suffered from gastroscopic non-atrophic gastritis, among which 633 men accounted for 38.36% of total non-atrophic gastritis and 1017 women accounted for 61.64% of total non-atrophic gastritis; 2) Non-atrophic gastritis patients aged 51 - 60 accounted for 36.12%, and patients aged 61 - 70 accounted for 28.30%; 3) There were 79 patients with non-atrophic gastritis complicated with polyps, and the detection rate of polyps was 4.79%; 4) Benign lesions occurred in 4 cases of gastric polyps, accounting for 5.06% in patients with gastric polyps, 4 cases were malignant lesions accounting for 5.06%; 5) 41.77% of patients aged 51 - 60 had polyps, and 21.53% of patients aged 61 - 70 had polyps. Conclusion: 1) The number of female patients with non-atrophic gastritis under gastroscopy was much higher than that of males; 2) The elderly over 50 years old were more likely to suffer from non-atrophic gastritis; 3) There is a certain detection probability of gastric polyps in non-atrophic gastritis; 4) There is a probability of benign or malignant lesions in patients with non-atrophic gastritis and gastric polyps; 5) Patients over 50 years old with non-atrophic gastritis are more likely to have gastric polyps.