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Epidemiological characteristics of inflammatory bowel disease in North-Eastern Poland.

机译:东北波兰炎性肠病的流行病学特征。

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AIM: To provide the clinical and epidemiological data of inflammatory bowel disease (IBD) patients of North-Eastern Poland. METHODS: A total of 248 IBD patients diagnosed and hospitalized in the Department of Infectious Diseases in Bialystok between 1990 and 2003 were included in the study. We analyzed age, sex, education, characteristics of job, type of the environment, discontinuation of employment due to IBD, colitis extent, need of surgical treatment, and coexistence of other diseases. RESULTS: Two hundred and thirty-three IBD patients (94%) were diagnosed as ulcerative colitis (UC), and only 15 (6%) were diagnosed as Crohn's disease (CD). Patients with CD were significantly younger at the time of diagnosis and male predominance was observed. The mean age of the patients at the time UC diagnosis was 44.9+/-1.1 years. Histogram of the age of patients showed the characteristic biphasic distribution with two peaks between 20 and 40 years and between 60 and 70 years. The predominant form of UC was leftsided colitis, which affected almost 80% of the studied population. The most extensive form - pancolitis was present in 34 patients (15%). Only 6% of UC patients required surgery, whereas 36% of CD patients underwent surgery (P<0.005). Among coexisting disorders, cholelithiasis was the most prevalent and demonstrated in 35 patients (14%), pulmonary disorders were diagnosed in 2%, and psoriasis in 1.4%. Since 1998, the number of admitted IBD patients has slightly increased. CONCLUSION: Occurrence of UC in Poland is much higher than that of CD. The majority of UC cases are diagnosed in young people (20-40 years) with the predominance of male patients. The most common clinical form of UC is left sided colitis.
机译:目的:提供东北波兰炎性肠病(IBD)患者的临床和流行病学数据。方法:1990年至2003年间,在比亚韦斯托克(Bialystok)传染病科诊断并住院的248名IBD患者被纳入研究。我们分析了年龄,性别,教育程度,工作特点,环境类型,因IBD导致的工作中断,结肠炎程度,手术治疗的需要以及其他疾病的共存。结果:233例IBD患者(94%)被诊断为溃疡性结肠炎(UC),仅15例(6%)被诊断为克罗恩病(CD)。 CD患者在诊断时显着年轻,并且观察到男性占主导地位。 UC诊断时患者的平均年龄为44.9 +/- 1.1岁。患者年龄的直方图显示了特征性的两相分布,在20至40岁之间和60至70岁之间有两个峰值。 UC的主要形式是左侧结肠炎,它影响了近80%的研究人群。最广泛的形式-结肠炎出现在34例患者中(15%)。仅6%的UC患者需要手术,而36%的CD患者接受手术(P <0.005)。在并存的疾病中,胆石症最普遍,在35例患者中表现出来(14%),诊断为肺部疾病的占2%,牛皮癣的占1.4%。自1998年以来,IBD患者的入院人数略有增加。结论:波兰的UC发病率远高于CD。大多数UC病例被诊断为以男性患者为主的年轻人(20-40岁)。 UC最常见的临床形式是左侧结肠炎。

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