Schöön I M, Mellström D, Odén A, Ytterberg B O
Department of Surgery, Ostra Sjukhuset, Gothenburg, Sweden.
BMJ. 1989 Nov 4;299(6708):1131-4. doi: 10.1136/bmj.299.6708.1131.
To determine the incidence and age distribution of peptic ulcer disease in adults in Gothenburg.
Retrospective study of patients with symptoms over one year.
All gastroenterology and x ray departments.
Any patient found to have an active ulcer crater during 1985.
Sex, age, past history of gastrointestinal ulcers, and smoking habit.
In 1985, 1402 peptic ulcers were diagnosed in 1137 adults. Over half (403; 54%) of the ulcers in men and 393 (60%) ulcers in women were in patients aged over 60. All types of ulcer showed increasing incidence with age. The sex ratio of patients aged 40-50 with peptic ulcers was 1:1. Nearly half (109; 48%) of ulcers diagnosed for the first time in men and 129 (57%) of such ulcers in women were in patients aged over 60. Elderly men and women were also more likely to develop haemorrhage.
In Gothenburg there is a surprisingly high incidence of peptic ulcer disease, which increases considerably with age, possibly explained by the availability of modern diagnostic techniques as 1121 (80%) ulcers had been diagnosed by gastroscopy. Compared with earlier studies there was no difference in the incidence between men and women aged 40-50.
确定哥德堡市成年人消化性溃疡疾病的发病率及年龄分布情况。
对有超过一年症状的患者进行回顾性研究。
所有胃肠病学和X光科室。
1985年期间发现有活动性溃疡灶的任何患者。
性别、年龄、既往胃肠道溃疡病史及吸烟习惯。
1985年，1137名成年人被诊断出1402例消化性溃疡。男性溃疡患者中超过半数（403例；54%）以及女性溃疡患者中393例（60%）年龄超过60岁。所有类型的溃疡发病率均随年龄增长而上升。40至50岁消化性溃疡患者的性别比为1:1。男性首次诊断出的溃疡中近半数（109例；48%）以及女性此类溃疡中129例（57%）患者年龄超过60岁。老年男性和女性发生出血的可能性也更高。
在哥德堡市，消化性溃疡疾病的发病率高得出奇，且随年龄增长显著增加，这可能是由于现代诊断技术的应用所致，因为1121例（80%）溃疡是通过胃镜诊断出来的。与早期研究相比，40至50岁的男性和女性发病率没有差异。
