THE INCIDENCE OF DUODENAL AND GASTRIC-ULCERS IN A LARGE HEALTH MAINTENANCE ORGANIZATION
THE INCIDENCE OF DUODENAL AND GASTRIC-ULCERS IN A LARGE HEALTH MAINTENANCE ORGANIZATION
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DOI：
10.2105/ajph.75.6.625
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发表时间：
1985-01-01
影响因子：
12.7
通讯作者：
FRANKL, H
中科院分区：
文献类型：
--
作者：
KURATA, JH;HONDA, GD;FRANKL, H
报道了美国加利福尼亚州洛杉矶一家大型健康维护组织（HMO）中，经放射学、内镜或手术证实的消化性溃疡（十二指肠溃疡、幽门管溃疡、胃溃疡以及复合型溃疡）在15岁及以上成员中的发病情况。消化性溃疡发病率为0.86/1000人年（p - y）（男性为1.10，女性为0.63）。男女比例为1.7。发现了首次确诊的十二指肠溃疡222例、幽门管溃疡17例、胃溃疡89例以及复合型溃疡21例。对于十二指肠溃疡和幽门管溃疡，15岁及以上成员的发病率为0.8/1000人年（男性0.76，女性0.40）。对于胃溃疡，15岁及以上成员的发病率为0.21/1000人年（男性0.23，女性0.18）。复合型溃疡发病率为0.05/1000人年（男性0.07，女性0.02）。1980年胃溃疡发病率比1977年高2倍。消化性溃疡的年龄别发病率随年龄增长而升高。发病率远低于以往研究报道，但胃溃疡与十二指肠溃疡的比例以及年龄和性别与溃疡发病率的关系与先前报道相似。
The incidence of peptic ulcers (duodenal, pyloric canal, gastric, and combined) verified by radiologic, endoscopic or surgical evidence in a large Health Maintenance Organization (HMO) in Los Angeles, California [USA] is reported on for members age 15 and above, the peptic ulcer incidence rate was 0.86/1000 person yr (p-y) (males, 1.10, females 0.63). The male to female sex ratio was 1.7. Duodenal (222), 17 pyloric canal, 89 gastric and 21 combined 1st-time diagnosed ulcer cases were located. For duodenal and pyloric canal ulcer, the incidence rate for members age 15 and above was 0.8/1000 p-y (males 0.76, females 0.40). For gastric ulcer, the incidence rate for members age 15 and above was 0.21/1000 p-y (males 0.23, females 0.18). The combined ulcer rate was 0.05/1000 p-y (males 0.07, females 0.02). Gastric ulcer rates were 2 times higher in 1980 than in 1977. Peptic ulcer age-specific incidence rates increased with age. Incidence rates were much lower than those reported in previous studies, but the gastric to duodenal ulcer ratio and the age and sex relation to ulcer incidence were similar to those previously reported.