家庭医生督导对消化性溃疡患者转归影响.docVIP

家庭医生督导对消化性溃疡患者转归影响 　　摘 要 目的：探?以家庭医生督导方式帮助消化性溃疡患者合理规范治疗及复查对消化性溃疡病转归的影响。方法：选取2015年10月至2016年10月，上海市赵巷镇社区中被上海复旦大学附属中山医院青浦分院消化内科门诊确诊为消化性溃疡伴幽门螺旋杆菌阳性的患者60例，随机分为家庭医生组和常规治疗组，家庭医生组30例患者中，男性21例，女性9例，平均年龄（46±6.2）岁；常规治疗组有2例失访，28例患者中，男性19例，女性9例，平均年龄（45±7.9）岁。两组性别和平均年龄差异无统计学意义（P0.05）。家庭医生组通过家庭医生督导用药治疗，常规治疗组采用门诊随访。比较两组患者的生活方式、服药依从性、消化溃疡及幽门螺杆菌治愈率。结果：家庭医生组督导治疗后戒烟、限酒、规律饮食、食盐摄入评分均高于对照组（P0.05）。幽门螺旋杆菌转阴率高于对照组（96.7%比71.4%，P0.05），1年内复查胃镜检查溃疡治愈率高于对照组（100%比82.1%，P0.05）。结论：家庭医生督导帮助消化性溃疡患者规范治疗可促进患者改善生活方式、提高服药依从性，从而提高消化性溃疡病的治愈率。 　　关键字 消化性溃疡；家庭医生；督导；转归 　　中图分类号：R573.1 文献标志码：A 文章编号：1006-1533（2018）10-0044-03 　　Effect of family doctor supervision on the outcome of patients with peptic ulcer 　　JIN Li（General Outpatient Department of Zhaoxiang Community Health Service Center of Qingpu District， Shanghai 201703， China） 　　ABSTRACT Objective： To explore the effect of family doctor supervision on the rational treatment and reexamination of patients with peptic ulcer and the influence on the outcome of peptic ulcer. Methods： From October 2015 and October 2016 60 patients who were diagnosed as peptic ulcer and Helicobacter pylori positive in the Outpatient Digestive Department of Qingpu Branch of Zhongshan Hospital affiliated to Shanghai Fudan University were selected and randomly divided into a family doctor group and a routine treatment group. Among the 30 cases of the family doctor group， 21 were male and 9 female， and the average age was （46±6.2） years. The routine treatment group had 2 cases lost follow up， among 28 patients 19 were male and 9 female， and the average age was （45±7.9） years. There was no significant difference in gender and average age between the two groups（P0.05）. The family doctor group was treated with drugs through the supervision of the family doctor， and the routine treatment group was followed up in the outpatient department. The life style， drug compliance， peptic ulcer and the cure rate of Helicobacter pylori were compared between the two groups. Results： After supervis