消化性溃疡复发的影响因素与预防护理措施

Influencing factors and preventive nursing measures for recurrence of peptic ulcer

目的探讨消化性溃疡复发的相关因素,并就此提出预防护理措施。方法选取本院2017年1月至2018年5月收治的消化性溃疡患者250例为研究对象,其中40例患者出现复发。通过与患者访谈、查阅病历资料的方式,收集其相关信息,采用logistic回归分析法分析影响消化性溃疡复发的因素。结果经多因素logistic回归分析显示,吸烟及饮酒、终末Hp感染、非甾体类抗炎药物(NSAIDs)应用史及大直径溃疡为消化性溃疡复发的独立危险因素(P <0. 05)。结论消化性溃疡治疗后易复发,严重影响患者日常生活,明确消化性溃疡复发的危险因素,制定相应的防护对策,可减少或避免疾病的再次复发。

Objective To explore the related factors of recurrence of peptic ulcer,and propose preventive nursing measures. Methods We selected 250 patients with peptic ulcer admitted to our hospital from January 2017 to May 2018 as a study object,40 cases of which patients had recurrence of peptic ulcer. Through interviews with patients,looking up the illness records,and collecting relevant information,logistic regression analysis was used to analyze the factors affecting the recurrence of peptic ulcer. Results Multivariate logistic regression analysis showed that smoking and drinking,terminal Hp infection,history of using non-steroidal anti-inflammatory drugs( NSAIDs),and large-diameter ulcers were independent risk factors affecting recurrence of peptic ulcer( P < 0. 05). Conclusion Peptic ulcer was easy to relapse after treatment,seriously affected patients’ daily life,we should make out the risk factors of recurrence of peptic ulcer,and formulate corresponding protective measures to reduce or avoid recurrence of the disease.