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Úlcera gastroduodenal: problemática de la morbilidad

Authors: Luis Manuel Fernández Machín; Verónica Marlene González García; Julio Lenin Díaz Guzmán; Gil Sarmiento Brooks; Olga Infante Pedreira;

Úlcera gastroduodenal: problemática de la morbilidad

Abstract

Se realizó un estudio descriptivo, restrospectivo en 4 consultorios atendidos por Médicos de la Familia, pertenecientes al Policlínico "Plaza de la Revolución" para señalar los principales problemas de salud que afectan la morbilidad por úlcera gastroduodenal, en el período comprendido desde enero de 1996 hasta diciembre de 1997. El sexo masculino representó el 65,7 % de la muestra en estudio y los grupos de edades de mayor prevalencia fueron de 31 a 40 años y de 51 a 60. El 42,1 % de los pacientes que refirieron antecedentes patológicos familiares de afecciones gastroduodenales desarrollaron úlcera gastroduodenal. La localización duodenal se presentó en un 77,1 % de los casos. El café fue el más frecuente de los hábitos tóxicos, siguiéndole el alcohol; entre los medicamentos ingeridos, la aspirina representó el 17,1 % de los casos. Los esquemas de tratamiento más empleados fueron la cimetidina y otros medicamentos (74,3 %), los regímenes lácteos (65,7 %) y los antiácidos (62,9 %). La endoscopia y la radiología (40 %) asociada a la endoscopia fueron los métodos más frecuentes para el diagnóstico. Asimismo, el sangramiento digestivo alto fue la complicación más observada (28,6 %)A descriptive and retrospective study was conducted in 4 family physician?s offices from the Plaza de la Revolución? Polyclinic to stress the main health problems affecting morbidity from peptic ulcer between January, 1996, and December, 1997. Males accounted for 65,7 % of the sample under study, whereas the highest prevalence was observed in the age groups 31-40 and 51-60. 42,1 % of the patients who had pathological family history of gastroduodenal disorders developed peptic ulcer.The duodenal localization was present in 77,1 % of the cases. Coffee was the most frequent of the toxic habits, followed by alcohol. Among the drugs taken by the patients, aspirin represented 17,1 % of the cases. The most used schemes of treatment were cimetidine and other drugs (74,3 %), the milk diets (65,7 %) and the antiacids (62,9 %). Endoscopy and radiology (40 %) associated with endoscopy were the most frequent methods used for diagnosing. Likewise, high digestive bleeding was the commonest complications (28,6 %)

Keywords

PHYSICIANS, FAMILY, Medicine (General), PRIMARY HEALTH CARE, ENDOSCOPY, PEPTIC ULCER, PRESCRIPTIONS, ENDOSCOPIA, R5-920, PRESCRIPCION DE MEDICAMENTOS, ATENCION PRIMARIA DE SALUD, ULCERA PEPTICA, DRUGS, MEDICOS DE FAMILIA

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold