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急性阑尾炎的人口统计学特征及季节变化

Demographic characteristics and seasonal variations of acute appendicitis.

作者信息

Bal Ahmet, Ozkececi Ziya Taner, Turkoglu Ozgur, Ozsoy Mustafa, Celep Ruchan Bahadir, Yilmaz Sezgin, Arikan Yüksel

出版信息

Ann Ital Chir. 2015;86:539-44.

Abstract

BACKGROUND

The most common disease required emergency surgical operation is acute appendicitis. Appendectomy is the most common surgical procedure in the world and remains important due to be an efficient treatment method. We aimed to determine seasonal variations of acute appendicitis in our regions and identify the demographical and regional differences.

METHODS

We analyzed retrospectively data of the patients who were admitted to the Afyon Kocatepe University hospital and Sivrihisar State hospital between 2003 and 2012. 839 patients' data were analyzed.

RESULTS

Mean age of the all patients was 33 ± 14.7 year. Acute appendicitis was seen more frequent in autumn and spring (P > 0.05). There was no significant difference between seasons in Afyon Kocatepe university hospital, while appendicitis was seen more common in autumn than winter in Sivrihisar state hospital (P < 0.05). There was not any relationship with the monthly average temperature, humidity, total precipitation amount and frequency of appendicitis (P > 0.05).

CONCLUSION

Although appendicitis has a seasonal variation, other environmental factors and impact of nutritional habit should not be ignored. Etiology of appendicitis is still multifactorial. In the future multiparameter nationwide studies can present country-specific etiology of appendicitis.

KEY WORDS

Appendectomy, Appendicitis, Seasonal variations.

摘要

背景

最常需要进行急诊外科手术的疾病是急性阑尾炎。阑尾切除术是世界上最常见的外科手术,由于其是一种有效的治疗方法,至今仍很重要。我们旨在确定我们地区急性阑尾炎的季节性变化,并找出人口统计学和地区差异。

方法

我们回顾性分析了2003年至2012年间入住阿菲永科泰佩大学医院和锡夫里希萨尔州立医院的患者数据。分析了839例患者的数据。

结果

所有患者的平均年龄为33±14.7岁。急性阑尾炎在秋季和春季更为常见(P>0.05)。在阿菲永科泰佩大学医院,各季节之间没有显著差异,而在锡夫里希萨尔州立医院,阑尾炎在秋季比冬季更为常见(P<0.05)。阑尾炎的发生与月平均气温、湿度、总降水量均无关联(P>0.05)。

结论

虽然阑尾炎有季节性变化,但其他环境因素和营养习惯的影响也不容忽视。阑尾炎的病因仍然是多因素的。未来全国性的多参数研究可以呈现特定国家的阑尾炎病因。

关键词

阑尾切除术;阑尾炎;季节性变化

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