慢性萎缩性胃炎并发缺铁性贫血的危险因素分析(1)
摘要：目的 分析慢性萎缩性胃炎(CAG)并发缺铁性贫血(IDA)的危险因素，并制定预防策略。方法 回顾性分析我院2017年1月～2018年9月收治的140例CAG患者的临床资料，根据患者是否发生IDA，分为贫血组35例和非贫血组105例。分析并发IDA的危险因素，并制定预防策略。结果 所有患者中IDA的发生率为25.00%。贫血组中病程>5年、幽门螺杆菌(Hp)感染、吸烟、酗酒、食量下降占比为80.00%、91.43%、60.00%、62.86%、65.71%，均高于非贫血组的52.38%、65.71%、38.10%、33.33%、39.05%(P<0.05)，经Logistic回归分析证实均是并发IDA的独立危险因素(OR=3.865、2.606、2.344、2.065、2.462，P<0.05)。结论 CAG并发IDA的风险较高，病程>5年、Hp感染等均是独立危险因素，应针对危险因素制定有效的预防策略。
关键词：慢性萎缩性胃炎;缺铁性贫血;危险因素
, http://www.100md.com 中图分类号：R573.3+2;R556.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.07.033
文章编号：1006-1959(2019)07-0112-03
Abstract：Objective To analyze the risk factors of chronic atrophic gastritis (CAG) complicated with iron deficiency anemia (IDA) and to develop prevention strategies. Methods The clinical data of 140 patients with CAG admitted to our hospital from January 2017 to September 2018 were retrospectively analyzed. According to whether patients had IDA， they were divided into 35 cases of anemia group and 105 cases of non-anemia group. Analyze risk factors for concurrent IDA and develop prevention strategies. Results The incidence of IDA was 25.00% in all patients. In the anemia group， the course of disease was >5 years， Helicobacter pylori (Hp) infection， smoking， alcohol abuse， and food intake decreased by 80.00%， 91.43%， 60.00%， 62.86%， and 65.71%，they were higher than 52.38%， 65.71%， 38.10%， 33.33%， and 39.05% (P<0.05) in the non-anemic group. Logistic regression analysis confirmed that they were independent risk factors for concurrent IDA (OR=3.865， 2.606， 2.344， 2.065， 2.462， P < 0.05). Conclusion The risk of CAG complicated with IDA is high. The course of disease >5 years and Hp infection are independent risk factors. Effective prevention strategies should be developed for risk factors.
, 百拇医药
Key words：Chronic atrophic gastritis;Iron deficiency anemia;Risk factors
慢性萎縮性胃炎(Chronic atrophic gastritis，CAG)是发病率较高的胃肠道疾病，是由于多种原因导致胃黏膜屏障减弱，引起慢性的萎缩性炎症，临床主要表现为上腹部饱胀感、嗳气等，并可引起缺血性贫血(Iron deficiency anemia，IDA)，影响患者的生理健康及生活质量[1]。通过分析CAG患者并发IDA的危险因素，并制定预防策略，是预防IDA的关键[2]。本研究主要对我院2017年1月～2018年9月收治的140例CAG患者的临床资料进行回顾，探讨并发IDA的危险因素，现报告如下。
1资料与方法
1.1一般资料 对2017年1月～2018年9月佳木斯皓天医院收治的140例CAG患者的临床资料进行回顾，其中男74例，女66例，患者年龄38～75岁，平均年龄(52.30±6.55)岁，病程1～15年，平均病程(6.21±2.10)年，将发生IDA的患者35例设为贫血组，未发生IDA的患者105例设为非贫血组。, 百拇医药(张皓)
关键词：慢性萎缩性胃炎;缺铁性贫血;危险因素
, http://www.100md.com 中图分类号：R573.3+2;R556.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.07.033
文章编号：1006-1959(2019)07-0112-03
Abstract：Objective To analyze the risk factors of chronic atrophic gastritis (CAG) complicated with iron deficiency anemia (IDA) and to develop prevention strategies. Methods The clinical data of 140 patients with CAG admitted to our hospital from January 2017 to September 2018 were retrospectively analyzed. According to whether patients had IDA， they were divided into 35 cases of anemia group and 105 cases of non-anemia group. Analyze risk factors for concurrent IDA and develop prevention strategies. Results The incidence of IDA was 25.00% in all patients. In the anemia group， the course of disease was >5 years， Helicobacter pylori (Hp) infection， smoking， alcohol abuse， and food intake decreased by 80.00%， 91.43%， 60.00%， 62.86%， and 65.71%，they were higher than 52.38%， 65.71%， 38.10%， 33.33%， and 39.05% (P<0.05) in the non-anemic group. Logistic regression analysis confirmed that they were independent risk factors for concurrent IDA (OR=3.865， 2.606， 2.344， 2.065， 2.462， P < 0.05). Conclusion The risk of CAG complicated with IDA is high. The course of disease >5 years and Hp infection are independent risk factors. Effective prevention strategies should be developed for risk factors.
, 百拇医药
Key words：Chronic atrophic gastritis;Iron deficiency anemia;Risk factors
慢性萎縮性胃炎(Chronic atrophic gastritis，CAG)是发病率较高的胃肠道疾病，是由于多种原因导致胃黏膜屏障减弱，引起慢性的萎缩性炎症，临床主要表现为上腹部饱胀感、嗳气等，并可引起缺血性贫血(Iron deficiency anemia，IDA)，影响患者的生理健康及生活质量[1]。通过分析CAG患者并发IDA的危险因素，并制定预防策略，是预防IDA的关键[2]。本研究主要对我院2017年1月～2018年9月收治的140例CAG患者的临床资料进行回顾，探讨并发IDA的危险因素，现报告如下。
1资料与方法
1.1一般资料 对2017年1月～2018年9月佳木斯皓天医院收治的140例CAG患者的临床资料进行回顾，其中男74例，女66例，患者年龄38～75岁，平均年龄(52.30±6.55)岁，病程1～15年，平均病程(6.21±2.10)年，将发生IDA的患者35例设为贫血组，未发生IDA的患者105例设为非贫血组。, 百拇医药(张皓)