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題名 | 全國消化性潰瘍病患與季節性變化之相關=Correlation between Seasonal Variation and Peptic Ulcer in Taiwan |
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作 者 | 陳淑芬; | 書刊名 | 北市醫學雜誌 |
卷期 | 5:1 2008.02[民97.02] |
頁次 | 頁65-74 |
分類號 | 412.41 |
關鍵詞 | 消化性潰瘍; 季節性波動; 月份性波動; Peptic ulcer; Seasonal fluctuation; Monthly fluctuation; |
語文 | 中文(Chinese) |
中文摘要 | 目的:消化性潰瘍是常見疾病,諸多引起消化性潰瘍的危險因子經常被討論與研究,其中有關季節性變化影響其疾病發生率的議題已有很多西方學者報告過,但目前國內研究資料樣本多僅限於以某一家醫院的急診求治或住院個案做為分析的對象,並未綜觀全臺灣整體不同季節之變化。本研究目的希望探討臺灣消化性潰瘍發生率與性別、年齡及與季節性、月份性、自然因素(溫度、溼度、大氣壓力)的關係。方法:本研究以1997年至2003年全民健康保險申報資料庫主診斷為ICD 9 CM_531、532、533之消化性潰瘍住院病患,共計404,841位個案為分析樣本,探討臺灣地區消化性潰瘍疾病發生率的變化情形。結果:本研究發現消化性潰瘍發生率具有季節性(Seasonality)波動與月份性(Monthly)波動,冬季與春季有較高發生率,秋季與夏季發生率較低。發生率最高的月份在1月份,而6、7、8月則發生率較低。至於疾病發生率則與溫度呈現負相關(P<0.01),與大氣壓力呈現正相關(P<0.01),與相對溼度則無顯著相關。結論:消化性潰瘍男性、女性發生率的比例約在2比1左右,確定性別是影響消化性潰瘍的因素之一。在55歲以上的年齡與其發生率有增加的趨勢。月份、季節亦對消化性潰瘍發生率有影響,且與溫度、大氣壓力有關,但與相對濕度無關。以上結果證實臺灣消化性潰瘍發生率與季節變遷確實有其相關性,研究發現期許提供衛生管理機構做為未來制定消化性潰瘍疾病預防衛教宣導計畫的參考,在高發生率的季節來臨前,加強衛生教育宣導,醫療提供者也能依季節性變化,彈性安排服務此類病患的醫療人力與設施,及持續性提供衛生教育,利於提供患者最優質的醫療服務並進一步保障病患生命安全。 |
英文摘要 | Background and Purpose: Peptic ulcer is a common disease and many factors, which have been put forward as causes of peptic ulcers, have been discussed frequently in the literature. One such cause is seasonal change as it affects the incident rate and this has been the subject of a number of Western country reports. At present, domestic research material is restricted to cases involving hospital emergence medical treatment and such an analysis object is by no means comprehensive as this survey did not cover the whole of Taiwan whole or the different season changes across the various regions. Methods: This research analyzed from 1997 to 2003 all the national Health insurance service cases reported to the database as diagnoses ICD_531, 532 and, 533. These designations indicate hospitalized patients with peptic ulcers. The dataset collected involved 404, 841 cases and the sample was analyzed in terms of the peptic ulcer incidence rate and seasonal changes across the whole of Taiwan. Results: The results showed that the peptic ulcer incidence rate showed seasonal fluctuations as well as monthly fluctuations. The winter and spring showed a higher incidence rate than the autumn and summer. The incidence rate was highest in January and lowest in June, August and September. The disease incidence rate shows a negative correlation (p<0.01) with the temperature and a positive one with atmospheric pressure (p<0.01). No correlation was found with relative humidity. Conclusions: This study conforms that, in Taiwan, the peptic ulcer incidence rate and seasonal fluctuations are correlated. It is hoped that this results will help health management in the future to formulate policies that reduce peptic ulcers in the population. Such feasible measures could include a the guidance plan for the seasons with a high incidence, health education and preventive medicine… Medical services should also note the seasonal variation and put in place elastic arrangements in terms of manpower and facilities. Health education is also needed in order to provide peptic ulcer patients with the highest quality medical service and to safeguard patients' safety. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。