| 许勤,石振旺.老年消化性溃疡复发33例分析[J].安徽医药,2020,24(9):1815-1817. |
| 老年消化性溃疡复发33例分析 |
| Analysis of recurrent peptic ulcer in the 33 elderly cases |
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| DOI：10.3969/j.issn.1009-6469.2020.09.030 |
| 中文关键词: 消化性溃疡/病因学 复发 幽门螺杆菌 吸烟 老年人 |
| 英文关键词: Peptic ulcer/etiology Recurrence Helicobacter pylori Smoking Aged |
| 基金项目: |
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| 摘要点击次数: 1555 |
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| 中文摘要: |
| 目的探讨老年病人消化性溃疡复发因素。方法收集合肥市第二人民医院消化内科 2017年 1月至 2018年 6月诊治的老年消化性溃疡病人 116例临床资料，随访 1年内病人溃疡是否复发，分析与其相关的临床因素。结果排除病史不全 4例及随访脱落 5例，最终纳入 107例。本次纳入研究的病人溃疡复发率 31%，其中随访末期幽门螺杆菌( Hp)感染状态( OR＝45.682，95%CI:2.654~702.832)、服用非甾体抗炎药( NSAID)(OR＝6.328，95%CI:1.387~27.896)及吸烟( OR＝1.805，95%CI: 1.189~2.687)与老年消化性溃疡复发相关。结论老年消化性溃疡病人的复发率较高。随访末期 Hp感染状态、服用 NSAID药物及吸烟与其相关。临床工作应重视合并多种复发因素的老年病人，有针对性地调整诊疗方案以降低溃疡复发风险。 |
| 英文摘要: |
| Objective To investigate the related factors of peptic ulcer recurrence in elderly patients.Methods The clinical data of 116 elderly patients with peptic ulcer diagnosed and treated in department of Gastroenterology，Hefei Second People’s Hospitalfrom January 2017 to June 2018 were collected.And followed-up for 1 year to see if the ulcer recurred and the relevant clinical fac-tors were analyzed.Results 4 cases of incomplete medical history and 5 cases of follow-up dropped out were excluded，and 107 cases were finally included.The recurrence rate of ulcers in this study was 31%，including Helicobacter pylori(Hp)infection status(OR＝45.682，95%CI:2.654-702.832)and taking non-steroidal anti-inflammatory drugs(NSAID)( OR＝6.328，95%CI:1.387- |
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