慢病管理模式在军人消化性溃疡防治中的应用价值  

Applicability of management of chronic diseases in soldiers with peptic ulcer diseases

作　　者：李涛[1] 米彦军[2] 鲁迪[1] 王泳[1] 陆敏[3] 张雪松[1] LI Tao;MI Yanjun;LU Di;WANG Yong;LU Min;ZHANG Xuesong(Department of Gastroenterology;Hospital Office;Emergency Department, the Second Hospital of Beijing Provincial Corps, Chinese People＇s Armed Police Force, Beijing 100037, China)

机构地区：[1]武警北京总队第二医院消化内科,100037 [2]武警北京总队第二医院院部,100037 [3]武警北京总队第二医院急诊科,100037

出　　处：《武警医学》2018年第5期476-479,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨慢病管理模式在青年军人消化性溃疡防治中的应用价值。方法选择2013-01至2015-06确诊的消化性溃疡军人患者82例,随机分为慢病管理组(42例)和对照组(40例)。慢病管理组给予常规诊疗+慢病管理(建立健康档案、健康教育、定期随访、监督治疗依从性、干预不良生活方式等),对照组给予常规诊疗模式,治疗随访2年。比较两组患者治疗后溃疡愈合、溃疡复发、幽门螺杆菌(Hp)的根除情况,以及对消化性溃疡疾病常识知晓率得分等指标的差异。结果经过治疗,慢病管理组溃疡愈合率为97.6%,对照组为72.5%,差异有统计学意义(χ2=10.34,P<0.05);慢病管理组Hp根除率为92.8%,对照组为60.0%,差异有统计学意义(χ2=14.81,P<0.05)。经过2年随访,慢病管理组溃疡复发率为7.1%,对照组为22.5%,差异有统计学意义(χ2=3.87,P<0.05)。慢病管理组对疾病常识的知晓率得分为(81.31±6.77)分,高于对照组的(56.87±7.10)分,差异有统计学意义(t’=15.92,P<0.05)。结论将慢病管理模式用于军人消化性溃疡的防治,能显著提高溃疡的愈合率和Hp根除率,能提高患者对疾病常识的知晓率,减少复发。Objective To evaluate the effect of management of chronic diseases in army men with peptic ulcer diseases.Methods Eighty-two army men with peptic ulcer diseases were randomly divided into the trial group（ treatment via chronic diseases management,such as establishing health records,health education,regular follow-up,medical compliance and changing unhealthy habits n = 42） and the control group（ conventional treatment n = 40）. After treatment,ulcer healing,Hp eradication,ulcer recurrence and the awareness of peptic ulcer were compared between the two groups. Results After treatment,the cure rate of ulcer was 97. 6% in the trial group,but was 72. 5% in the control group. The difference was statistically significant（ χ^2= 10. 34,P〈0. 05）. The Hp eradication rate was 92. 8% in the trial group and 60. 0% in the control group,so the difference was also of statistical significance（ χ^2= 14. 81,P〈0. 05）. After two years of follow-up,the rate of ulcer recurrence in the trial group was 7. 1%,which was significantly lower than 22. 5%in the control group. The difference was statistically significant（ χ^2= 3. 87,P〈0. 05）. The patients in the trial group had a higher awareness score of peptic ulcer than those in the control group,and the difference was statistically significant（ t＇= 15. 92,P〈0. 05）.Conclusions Treatment via chronic diseases management for peptic ulcer can effectively increase the healing rate,the eradication rate of Hp and the awareness score of peptic ulcer while decreasing recurrence remarkably.

关 键 词：慢性病管理 消化性溃疡 军人 

分 类 号：R573.1[医药卫生—消化系统]