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北京市部分地区老年人消化性溃疡患病率及相关因素调查分析

张 玫 汤 哲 张泰昌 邹秀娣

  摘要 本文系1993年7~10月对北京市部分地区3 440名60岁以上老年人进行的消化性溃疡病(PU)的患病率及影响因素的调查。采取入户问卷调查的方式,结果表明:老年人PU的患病率在4.1%;男性高于女性(5.3%,2.9%);低龄老人高于高龄老人;山区高于城区和郊区。在与PU有关的影响因素中,抑郁、脑力劳动、吸烟、大量饮酒及高文化程度是老年PU的危险因素,饮食结构及少量饮酒与PU的患病率在统计学上未见显著差异。提示老年人PU患病率在不同年龄、性别、地区、文化程度及职业上均有差异,同时心理因素对PU的影响也不容忽视。
  关键词 老年人群  消化性溃疡
Prevalence of Peptic Ulcer and Its Associated Factors in Elderly People in Beijing Zhang Mei,Tang Zhe,Zhang Taichang,et al.Xuanwu Hospital,Capital University of Medical Science,Beijing 100053
  Abstract Survey on the prevalence rate of peptic ulcer (PU) and its associated factors in 3440 elderly people aged 60 or above,living in some area of Beijing is reported in the paper.The survey was carried out from July to October,1993 through administration of household questionnaire.Result showed that the prevalence rate of PU was 4.1%,higher among males (5.3%) than in females (2.9%).There were more,younger,elderly and more farmers living in mountainous areas suffered from the disease than,older,elderly and rural farmers or urbanial residents.It is demonstrated that depression,intelle ctual work,cigarette smoking,heavy alcohol intake and higher educational level were correlated with the occurrence of the disease in the elderly.Neither dietary structure or light alcohol intake was found to be associated with prevalence of PU with statistical significance.We revealed that the prevalent rates of PU in the elderly were different according to age,sex,geographic area,educational level and professional aspects.The influence of psychological factors to the prevalence rateof PU should also be considered.
  Key words Elderly people  Peptic ulcer

  消化性溃疡是一种常见的胃肠道疾病,随着社会的老龄化,老年消化性溃疡已逐步引起人们重视。为了研究老年消化性溃疡的患病特点及影响因素,我们对北京不同地区(城区、郊区及山区)的老人进行抽样调查分析,以探讨老年消化性溃疡的流行病学特征及危险因素,为制定相应的防治措施提供科学依据。

研究方法

  一、调查对象:样本取自北京老年病医疗研究中心社会医学部实施的世界实验室MCD-5项目的调查人群,以北京第四次人口普查10%的抽样资料为依据,随机抽取调查宣武区(城区)、大兴县(郊区)和怀柔县(山区)60岁及以上的老人3 440人〔1

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