對原發(fā)性膽汁反流性胃炎和慢性膽囊疾病兩者關(guān)聯(lián)的研究
本文選題:原發(fā)性膽汁反流性胃炎 + 慢性膽囊疾病; 參考:《泰山醫(yī)學院》2014年碩士論文
【摘要】:1目的探討原發(fā)性膽汁反流性胃炎和慢性膽囊疾病之間有沒有關(guān)聯(lián)。方法收集聊城市第二人民醫(yī)院2009~2013年來原發(fā)性膽汁反流性胃炎組患者360例,與非膽汁反流性胃炎組360例同期患者進行了一項病例對照研究卡方檢驗進行統(tǒng)計研究,探究原發(fā)性膽汁反流性胃炎和慢性膽囊疾病之間有沒有關(guān)聯(lián)。結(jié)果在原發(fā)性膽汁反流性胃炎組(PBRG組)360例患者中,124例患者有慢性膽囊疾病,其中合并膽囊結(jié)石者70例;非膽汁反流性胃炎組(非BRG組)360例患者中,84例患者有慢性膽囊疾病,其中合并膽囊結(jié)石者38例,兩組對比差別具有統(tǒng)計學意義,P0.01(P=0.001);原發(fā)性膽汁反流性胃炎組(PBRG組)患者中根據(jù)是否有膽囊結(jié)石進行性別亞組分析,男性患者中有膽囊結(jié)石者34例,無膽囊結(jié)石者185例,女性患者中有膽囊結(jié)石者36例,無膽囊結(jié)石者105例,兩組對比差別具有統(tǒng)計學意義,P0.05(P=0.019);在男性性別亞組中,原發(fā)性膽汁反流性胃炎組(PBRG組)有慢性膽囊疾病72例,無慢性膽囊疾病147例,非膽汁反流性胃炎組(非BRG組)有慢性膽囊疾病49例,無慢性膽囊疾病者166例,兩組間的差距具備顯著意義,P0.05(P=0.019);在女性性別亞組中,原發(fā)性膽汁反流性胃炎組(PBRG組)有慢性膽囊疾病者52例,無慢性膽囊疾病者89例,非膽汁反流性胃炎組(非BRG組)有慢性膽囊疾病者35例,無慢性膽囊疾病者110例,兩組間的差距具備顯著意義,P0.05(P=0.019)。結(jié)論資料分析結(jié)果提示:1.原發(fā)性膽汁反流性胃炎組患者的慢性膽囊疾病發(fā)病率較非膽汁反流性胃炎組發(fā)病率,兩者之間存在關(guān)聯(lián)性。2.原發(fā)性膽汁反流性胃炎組的患者,男性患者膽結(jié)石的發(fā)病率低于女性。
[Abstract]:Objective to investigate the relationship between primary bile reflux gastritis and chronic gallbladder disease. Methods from 2009 to 2013, 360 patients with primary bile reflux gastritis and 360 patients with non-bile reflux gastritis were studied by chi-square test, a case-control study. Explore the link between primary bile reflux gastritis and chronic gallbladder disease. Results among 360 patients with primary bile reflux gastritis, 124 had chronic gallbladder disease, including 70 with gallstone, 84 with chronic gallbladder disease. Among them, 38 cases were complicated with cholecystolithiasis. The difference between the two groups was statistically significant (P 0.01). The patients with primary bile reflux gastritis (PBRG group) were analyzed according to whether they had gallstone or not. 34 cases of male patients had gallstone. There were 185 cases without gallstone, 36 cases with cholecystolithiasis and 105 cases without cholecystolithiasis. The difference between the two groups was statistically significant (P 0.05). There were 72 cases of chronic gallbladder disease, 147 cases of no chronic gallbladder disease, 49 cases of chronic gallbladder disease in non-BRG group and 166 cases without chronic gallbladder disease in primary bile reflux gastritis group (PBRG group). The difference between the two groups was significant (P 0.05). In the female sex subgroup, 52 cases had chronic gallbladder disease and 89 cases had no chronic gallbladder disease in primary bile reflux gastritis group (PBRG group). There were 35 cases with chronic gallbladder disease and 110 cases without chronic gallbladder disease in non-bile reflux gastritis group (non-BRG group). The difference between the two groups was significant (P 0.05). Conclusion the results of data analysis suggest that: 1. The incidence of chronic gallbladder disease in patients with primary bile reflux gastritis was higher than that in non-bile reflux gastritis. In patients with primary bile reflux gastritis, the incidence of cholelithiasis was lower in males than in females.
【學位授予單位】:泰山醫(yī)學院
【學位級別】:碩士
【學位授予年份】:2014
【分類號】:R573.3;R575.6
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