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克罗恩病达到黏膜愈合的预测因素分析

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目的 分析克罗恩病(Crohn's disease,CD)达到黏膜愈合(mucosal healing,MH)的临床预测因素.方法 回顾性分析2010 年 1 月至 2019 年 12 月在我医学中心接受治疗和随访的 CD患者的临床特征、实验室和内镜检查资料.根据随访期内镜下检查结果,将 70 例入组患者按照黏膜是否愈合分为MH组和非MH组.通过组间资料的单因素分析及多因素Logistic回归分析,研究达到 MH的预测因素.结果 入组的 70 例 CD 患者中,男 48 例(68.57%),女 22 例(31.43%),年龄(41.30±15.48)岁,25 例(35.71%)患者达到 MH,45 例(64.29%)未能达到 MH.MH 组患者的受教育年限[(13.36±3.17)年 vs(10.78±3.25)年,P=0.002]、应用生物制剂治疗[18 例(72.00%)vs 14 例(31.11%),P=0.001]显著高于非MH组.多因素Logistic分析显示,更长的受教育年限(OR=1.334,95%CI:1.055~1.688,P=0.016)和应用生物制剂治疗(OR=15.997,95%CI:1.512~169.297,P=0.021)是CD达到 MH的预测因素.结论 更高的受教育程度和应用生物制剂是 CD达到 MH的临床预测因素.
Analysis of predictive factors of mucosal healing in Crohn's disease
Objective To analyze clinical predictive factors of mucosal healing(MH)in Crohn's disease(CD).Methods From Jan.2010 to Dec.2019,the clinical,laboratory,endoscopic and follow up data of 70 CD patients who received treatment in our medical center were retrospectively analyzed.Patients were divided into MH group and non-MH group based on endoscopic findings of mucosal ulceration.Univariate analysis and multivariate Logistic regres-sion analysis were conducted to indentify predictive factors of MH.Results Among the 70 CD patients,48(68.57%)were male and 22(31.43%)were female,with the age of(41.30±15.48)years.Twenty-five(35.71%)patients were in the MH group,while 45(64.29%)were in the non-MH group.There were significant differences between pa-tients in MH group and non-MH group in terms of level of education[(13.36±3.17)years vs(10.78±3.25)years,P=0.002]and use of biological agents[18 cases(72.00%)vs 14 cases(31.11%),P=0.001].Multivariate Logistic analysis revealed that higher education level(OR=1.334,95%CI:1.055-1.688,P=0.016)and use of biological agents(OR=15.997,95%CI:1.512-169.297,P=0.021)were predictive factors of MH in CD.Conclusion Higher level of education and use of biological agents are predictive factors of MH in CD.

Crohn's diseaseMucosal healingPredictive factorEducationBiological agent

杜树文、张丽敏、贾康妹、杨善兵、谢惠、王继恒

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中国人民解放军总医院第七医学中心消化内科,北京 100700

中国人民解放军总医院京南医疗区综合内科

克罗恩病 黏膜愈合 预测因素 教育程度 生物制剂

首都卫生发展科研专项

2018-1-5091

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(5)
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