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作 者:王乡 吴格怡 陈积 WANG Xiang;WU Geyi;CHEN Ji(Zhanjiang Second People's Hospital,Zhanjiang 524023,China)
机构地区:[1]广东省湛江市第二人民医院,广东湛江524023
出 处:《中国医药科学》2017年第14期241-244,共4页China Medicine And Pharmacy
摘 要:目的观察传染科门诊肝炎病人治疗达标,但停药后又复发的原因,分析其主要的影响因素,寻找相应的解决办法。方法收集本院传染科门诊经治疗后复发的肝炎病人60例及未复发的病人120例。观察患者的年龄、性别、是否从事夜班职业、烟酒史、白蛋白营养状况、应用损肝药物、饮食状况、心理因素等可能引起肝炎复发的因素进行回归分析。结果发现这些因素中,与肝炎复发相关的是:性别,上班不规律的职业,吸烟,饮酒,辛辣油腻饮食,合并糖尿病,用伤肝药,用化疗药,存在免疫抑制这些因素,均为危险因素,P<0.05,需要重点注意防范。结论可以影响门诊肝炎病人治疗效果,应及早提醒病人生活中注意及做出预防措施,医疗上及早防范,意义重大。Objective To observe the infectious diseases outpatient treatment of hepatitis patients standard,butafter the withdrawal of the recurrence of the reasons,to analyze the main influencing factors are analyzed,and tofind the corresponding solutions.Methods60cases of recurrent hepatitis and120cases without recurrence aftertreatment in infectious disease clinic of our hospital were selected.The factors such as age,sex,whether to engage innight shift,alcohol and tobacco history,albumin,nutritional status,the use of liver damage drugs,diet and psychologicalfactors may cause recurrence of hepatitis were observed and carried on regression analysis.Results In thesefactors,the association with hepatitis recurrence was gender,irregular work,smoking,drinking,and a spicy,greasy diet.Combined with diabetes mellitus,the use of liver cancer drugs,the presence of chemotherapy drugs,the presence ofimmunosuppression,these factors were risk factors,P<0.05,we needed to pay attention to prevention.Conclusion Itcan affect the treatment effect of outpatient hepatitis patients,and should remind patients to pay attention to and makepreventive measures as soon as possible.Medical early prevention is of great significance.
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