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[消化性溃疡疾病的预后参数]

[Prognostic parameters in peptic ulcer disease].

作者信息

Hempel V, Hempel P, Stibenz J, Eichhorn K, Kratzsch K H

机构信息

Klinik für Innere Medizin Küchwald, Bezirkskrankenhauses Chemnitz, Bundesrepublik Deutschland.

出版信息

Gastroenterol J. 1991;51(1):42-6.

PMID:1910495
Abstract

Tendency of peptic ulcer to frequent recurrence and spontaneous healing as to life-threatening complications are apart of the natural history of ulcer disease. In a retrospective study of 7 years, we examined 27 simple factors for their prognostic value by 218 patients suffering from ulcer disease which were diagnosed by fibroscopy. The interpretation with help multi analysis, the variant and discriminant analysis showed by patients with stomach ulcer that, the prognosis of the combination between renunciation of nicotine the begin of the disease until 30th years of the people, more than three foods daily, stomach cancer in the family, blood group A and left finger position would be suitable. The prognosis was better for patients with duodenal ulcer who have nicotine abstinence, childlessness negative history of the family with view to ulcer disease, blood group 0, positive Rh-factor and the working time.

摘要

消化性溃疡易于频繁复发,且能自然愈合,不过会出现危及生命的并发症,这都是溃疡病自然病程的一部分。在一项为期7年的回顾性研究中,我们通过纤维内镜检查确诊的218例溃疡病患者,对27个简单因素的预后价值进行了研究。借助多元分析、变量分析和判别分析进行解读,结果显示,对于胃溃疡患者而言,从发病至30岁期间戒烟、每日进食超过三种食物、家族中有胃癌患者、血型为A型以及左手手指位置等因素相结合,预后较为合适。对于十二指肠溃疡患者,戒烟、家族中无溃疡病相关的子女不育阴性史、血型为O型、Rh因子阳性以及工作时间等因素,其预后较好。

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