广东地区胰腺疾病发病情况的20年对比分析

摘要

目的 探讨广东地区胰腺疾病在住院患者构成比中的变化.方法 分别收集1994年至2003年(A组)和1984年至1993年(B组)两个10年间广东地区13家医院胰腺疾病发病情况,对比分析胰腺疾病在住院患者构成比例中的变化.结果 A组胰腺疾病6172例,占住院患者总数1468794例的4.20‰;B组胰腺疾病1772例,占住院患者总数713 986例的2.48‰,A组显著高于B组(P＜0.001).A组胰腺炎患者4060例,占该组总住院患者的2.76‰;B组胰腺炎患者1110例,占该组总住院患者的1.55‰,两者差异显著(P＜0.001).A组胰腺癌患者1621例,占该组总住院患者的1.01‰,B组胰腺癌患者497例,占该组总住院患者的0.70‰,两者差异显著(P＜0.001).A组和B组胰腺假性囊肿为192例和29例,分别占同期胰腺炎的4.72%(192/4 060)和2.61%(29/1110),差异显著(P=0.002).结论 广东地区近10年胰腺疾病在住院患者构成中的比例高于前10年,提示胰腺疾病的发病率有上升趋势.%Objective To investigate the proportional changes of hospitalized patients with pancreatic diseases in the Guangdong Province. Methods Data of patients with pancreatic diseases were collected and analyzed from 13 hospitals in the Guangdong Province between 1994 ～ 2003 ( group A ) and 1984 ～ 1993(group B). Results 6172 patients with pancreatic diseases and totally 1468791 hospitalized cases were found from 1994 to 2003. 1772 patients with pancreatic diseases and totally 713986 patients were found from 1984 to1993. Proportion of patients with pancreatic diseases to totally hospitalized cases were 4.20‰ and 2.48‰ in group A and group B, respectively (P ＜ 0. 001 ). Proportion of patients with pancreatitis to totally hospitalized cases in group A was 2.76‰ and in group B was 1.55‰, respectively ( P ＜ 0.001 ). Proportion of patients with pancreatic carcinoma to totally hospitalized cases in group A was 1.01‰ and in group B was 0. 70‰,respectively (P ＜ 0. 001 ). 192 and 29 patients with pancreatic pseudocyst were found in group A and group B.Proportion of patients with pancreatic pseudocyst to pancreatitis in group A (4. 72%, 192/4060) were significantly higher than in group B (2.61%, 29/1110) (P=0.002). Conclusions Proportion of patients with pancreatic diseases in hospitalized cases increase from 1984 ～ 1993 to 1994 ～2003 in the Guangdong Province.