Kurata J H, Corboy E D
Center for Ulcer Research and Education, VA Wadsworth Medical Center, San Bernardino, California.
J Clin Gastroenterol. 1988 Jun;10(3):259-68. doi: 10.1097/00004836-198806000-00007.
There has been speculation that peptic ulcer is a vanishing disease. To determine current time trends for peptic ulcers, we examined data from the National Center for Health Statistics and the Commission on Professional and Hospital Activities covering the period 1970 to 1985. For duodenal ulcer, hospitalizations for uncomplicated cases continue to decline, but there has been no decrease in cases with complications (such as perforations or hemorrhages). Hospitalizations for gastric ulcer are increasing, especially for cases with hemorrhage. Duodenal and gastric ulcer death rates have remained fairly constant since 1979. Site-unspecified peptic ulcer death rates doubled in 1979 and have remained at this rate through 1983. This increase can largely be attributed to coding changes made in the 9th revision of the International Classification of Diseases.
一直有人猜测消化性溃疡是一种正在消失的疾病。为了确定消化性溃疡当前的时间趋势，我们研究了美国国家卫生统计中心和专业及医院活动委员会在1970年至1985年期间的数据。对于十二指肠溃疡，单纯性病例的住院人数持续下降，但并发症（如穿孔或出血）病例数并未减少。胃溃疡的住院人数在增加，尤其是出血病例。自1979年以来，十二指肠溃疡和胃溃疡的死亡率一直相当稳定。未明确部位的消化性溃疡死亡率在1979年翻了一番，并一直保持到1983年。这种增加在很大程度上可归因于《国际疾病分类》第九版中的编码变化。
