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ID:39131326
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页数:35页
时间:2019-06-25
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1、华中科技大学硕士学位论文TheimpactofriskfactorsoffunctionaldyspepsiaonsymptomsandprognosisMajor:GastroenterologyMasterdegreecandidate:JiangZhifengSupervisor:Pro.LiuShiAbstractBackgroundThereareafewreportsaboutfunctionaldyspepsia(FD)riskfactor,whichfocusedmoreontheoveralldis
2、easeriskfactorsthanriskfactorsonthesymptoms,andlessreportsaboutaffectofprognosisofriskfactors。OurresearchfocusedonFD-relatedriskfactorintheimpactonthesymptomsandprognosis。MethodOursurveyed130casesofout-patientswhichmeettheRomeIIIcriteria,examinatedexcludedstoma
3、chorganicdiseaseandothervisceralorganinvolvementbyendoscopicandultrasonographyandrefluxdisease。ConditionstoreceiveFDquestionnaire。Bylogisticregressionmodelsexaminetherelatedriskfactorsandfollow-uponeyear,observedtheoutcome。3华中科技大学硕士学位论文ResultsAdjustingforgender
4、,theOR(oddsratio)=2.77and3.09inpostprandialfullnessandearlysatiety,butthereare0.48and0.54inepigastricpainandepigastricburningrespectively。Adjustingforage,OR=1.02inepigastricpain,but0.95,0.98and0.96inpostprandialfullness,earlysatietyandepigastricburningrespectiv
5、ely。Adjustingforsmoking,OR=0.10,0.52inepigastricpainandepigastricburningrespectively。Adjustingfordringking,OR=1.01inepigastricpain,but0.22,0.22,0.77inpostprandialfullness,earlysatiety,andepigastricburningrespectively。AdjustingforHP.(Helicobacterpylori)Infection
6、,OR=0.66,0.66,0.93and0.71inpostprandialfullness,earlysatiety,epigastricpain,epigastricburningrespectively。Adjustingforlifesatisfaction,OR=1.88,3.41inearlysatiety,epigastricpainrespectively,but0.49inepigastricburning。Adjustingformoodswings,OR=1.01,1.30and1.04inp
7、ostprandialfullness,epigastricpainandepigastricburningrespectively,while0.69inearlysatiety。Adjustingforeducation,OR=1.38,1.69and1.12inpostprandialfullness,earlysatietyandepigastricburningrespectively,while0.83inepigastricpain。Inthedistributionofsymptomsofriskfa
8、ctors,earlysatietyismoresusceptibleinhighereducation,P=0.028,andthereisgreaterprobabilityofepigastricpaininmoodswings,P=0.004。Follow-uponeyear,therearenosignificantdifferenc
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