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

陳淑芬(Sue-Fan Chen)

《北市醫學雜誌》 5卷1期 (2008/02) Pp. 65-74

https://doi.org/10.6200/TCMJ.2008.5.1.07

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 emergency 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 result 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.

關鍵字

消化性潰瘍 ； 季節性波動 ； 月份性波動

並列摘要

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 emergency 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 result 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.

並列關鍵字

peptic ulcer ； seasonal fluctuation ； monthly fluctuation