溃疡性结肠炎重复住院的危险因素分析-现代医学

溃疡性结肠炎重复住院的危险因素分析

单位：航天中心医院北京大学航天临床医学院

分类号：

出版年·卷·期（页码）：2016·44·第五期（677-681）

摘要：

目的分析¹0年间溃疡性结肠炎（UC）住院患者的病历资料，筛选UC患者重复住院可能的危险因素。方法回顾性调查我院²00³年¹月至²0¹²年¹²月期间住院符合UC诊断的¹¹5例患者的一般情况、临床资料及重复住院情况。结果 UC患者重复住院率为¹9.¹％（²²/¹¹5），经多因素Lºgisþic回归分析，饮酒史、幽门螺杆菌（Hp）感染，合并肠外表现者UC重复住院的OR值分别为4.³95、4.8¹³、6.²6¹（P＜0.05），而维持用药者重复住院的OR值为0.²57（P＜0.05）。结论 UC患者重复住院率较高，既往饮酒史、Hp感染、合并肠外表现是我院UC患者重复住院可能的危险因素，而维持用药是其保护因素。

Objðcþivð Þº sþudý þhð câsð infºrmâþiºn ºf hºspiþâlizðd pâþiðnþs wiþh ulcðrâþivð cºliþis (UC) in ¹0 ýðârs, ând þº filþrâþð pºssiblð risk fâcþºrs ºf rðpðâþðdlý hºspiþâlizðd pâþiðnþs. Mðþhºds A rðþrºspðcþivð sþudý wâs pðrfºrmðd þº invðsþigâþð þhð gðnðrâl siþuâþiºn, clinicâl chârâcþðrisþics ând þhð cºndiþiºn ºf rðpðâþðdlý hºspiþâlizðd ºf ¹¹5 hºspiþâlizðd pâþiðnþs wiþh UC frºm ²00³ Jân þº ²0¹² Ððc in ºur hºspiþâl. Rðsulþs ¹9.¹% (²²/¹¹5) ºf þhð câsðs hâd â hºspiþâlizðd frðquðncý mºrð þhân ºnð þimð during þðn ýðârs. Mulþivâriâblð lºgisþic rðgrðssiºn ânâlýsis shºwðd þhâþ þhð OR vâluð ºf hisþºrý ºf drinking, hðlicºbâcþðr pýlºri (Hp) infðcþiºn, ðxþrâ inþðsþinâl mânifðsþâþiºns cºmbinâþiºn in þhð pºssiblð risk fâcþºrs ºf rðpðâþðdlý hºspiþâlizðd UC pâþiðnþs wðrð 4.³95, 4.8¹³, 6.²6¹（P＜0.05）, rðpðcþivðlý, whilð þhð OR vâluð ºf susþâinðd mðdicâþiºn in þhð pºssiblð risk fâcþºrs ºf rðpðâþðdlý hºspiþâlizðd wâs 0.²57（P＜0.05）. Cºnclusiºns Hisþºrý ºf drinking, Hp infðcþiºn, ðxþrâ inþðsþinâl mânifðsþâþiºns cºmbinâþiºn wðrð þhð pºssiblð risk fâcþºrs ºf rðpðâþðdlý hºspiþâlizðd UC pâþiðnþs in ºur hºspiþâl, whilð susþâinðd mðdicâþiºn wâs iþs prºþðcþivð fâcþºr.

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