消化性溃疡患者复发相关因素分析 |
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引用本文: | 罗俊卿,段泽星,李伟强,赵智.消化性溃疡患者复发相关因素分析[J].当代医师,2014(4):501-503. |
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作者姓名: | 罗俊卿 段泽星 李伟强 赵智 |
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作者单位: | 武警湖南总队医院内二科,长沙410006 |
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摘 要: | 目的:探讨导致消化性溃疡复发的因素,以求寻找相应的预防措施。方法对本院2011年1月至2013年8月期间收治的160例消化性溃疡住院患者的临床资料进行回顾性分析,定期随访后按是否复发分为复发和未复发两组,进行危险因素分析。结果160例患者中有46例复发,复发率为28.8%。单因素Logistic回归分析发现,吸烟量大、酗酒、春秋季节、幽门螺旋杆菌感染、服用非甾体抗炎药( NSAIDs)、精神因素、男性是消化性溃疡复发的危险因素;进一步多因素Logistic回归分析显示,吸烟酗酒史、精神因素、NSAIDs服用史、Hp感染是消化性溃疡复发的危险因素。结论吸烟酗酒史、精神因素、NSAIDs、Hp感染是消化性溃疡复发的独立因素,干预这些高危因素可减少溃疡复发。
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关 键 词: | 消化性溃疡 复发 危险因素 回顾性研究 |
Clinical analysis of relapse factors and prevention for peptic ulcer patients |
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Authors: | Luo Junqing Duan Zexing Li Weiqiang Zhao Zhi |
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Institution: | The 2nd Department of lnternal Medicine, Hunan Provincial Corps Hospital of Chinese People's Armed Police Force, Changsha 410006, China |
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Abstract: | Objective To investigate the relapse factors and its control strategy for peptic ulcer patients .Methods A total of 160 cases of peptic ulcer patients who visited our hospital from Jan 2011 to Aug 2013 was retrospectively analyzed .The recurred pa-tients were assigned as the experimental group , and the others as the control group .The relapse factors for peptic ulcer were observed . Results Among 160 peptic ulcers , there were 46 cases with recurrence with a relapse rate of 28.8%.Single factor logistic regression analysis showed that smoking, drinking, the spring and autumn season, h.pylori (Hp) infection, non-steroid anti-inflammatory drugs (NSAIDs), mental factor, and male were the risk factors for recurrence of peptic ulcer .Further multivariable logistic regression analy-sis showed that smoking, drinking, mental factors, history taking NSAIDs, and Hp infection were also the risk factors for recurrence of peptic ulcer .Conclusions Smoking and alcoholism history , meatal factors , history of taking NSAIDs , and Hp infection were the in-dependent risk factors of recurrence of peptic ulcer , intervention of these risk factor might reduce ulcer recurrence . |
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Keywords: | Peptic ulcer Recurrence Risk factors Retrospective studies |
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