消化器系愁訴と器質的病変の関連性に関する分析

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The relation between the subjective complaints and the organic diseases of the digestive system were studied on 6042 outpatients who visited the internal medicine outpatient department in Kitasato University Hospital from December 9, 1974 till November 30, 1975. (1) One-third of all patients in the outpatient department was patients with complaints related to the digestive system. The age distribution curves of all the patients as well as those with the complaints concerning the digestive system showed the familiar pyramidal shape with the peak in the fourth decade, but the ratio of the patients with complaints of the digestive system to all patients was particularly high among the group under fifty years old. It was shown that the ratio of male patients with gastrointestinal symptoms to all patients was significantly high. The number of patients with gastrointestinal symptoms was significantly higher in Summer than Spring. It was shown that organic diseases were significantly less in the female, and the ratio of organic diseases among patients with gastrointestinal symptoms became higher with aging. (2) The most frequent occurence of organic disease was found in the complaints of "Melena" or "Tarry Stool", and the least in "Diarrhea" and "Constipation". The most frequent complaint was abdominal pain and organic disease was detected in 32 per cent of them. (3) There were no significant differences found in the frequency of the patients with organic diseases during the four seasons. The 957 patients with peptic ulcer occupied 47 per cent of all the organic diseases. Other organic diseases excluding the digestive system were found in 8 per cent. Peptic ulcer as well as gastric cancer was detected significantly more frequently in Spring than Summer. (4) Diseases of the lower alimentary tract were detected in 58 per cent of the patients with complaint of "Melena or Tarry Stool", while diseases of upper gastrointestinal tract occured in 38 per cent. Upper gastrointestinal diseases were found in 80 per cent of the organic diseases accompanied with pyrosis, and it was suggested that it was a specific symptom of upper gastrointestinal disease among the organic diseases. (5) In spite of the expression of complaints by patients, it was relatively appropriate and reliable.
北里大学の論文
1976-10-31

消化器系愁訴と器質的病変の関連性に関する分析

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