目的 探讨慢病管理模式在青年军人消化性溃疡防治中的应用价值。方法 选择2013-01至2015-06确诊的消化性溃疡军人患者82例,随机分为慢病管理组(42例)和对照组(40例)。慢病管理组给予常规诊疗+慢病管理(建立健康档案、健康教育、定期随访、监督治疗依从性、干预不良生活方式等),对照组给予常规诊疗模式,治疗随访2年。比较两组患者治疗后溃疡愈合、溃疡复发、幽门螺杆菌(Hp)的根除情况,以及对消化性溃疡疾病常识知晓率得分等指标的差异。结果 经过治疗,慢病管理组溃疡愈合率为97.6％,对照组为72.5％,差异有统计学意义(χ²=10.34,P＜0.05);慢病管理组Hp根除率为92.8％,对照组为60.0％,差异有统计学意义(χ²=14.81,P＜0.05)。经过2年随访,慢病管理组溃疡复发率为7.1％,对照组为22.5％,差异有统计学意义(χ²=3.87,P＜0.05)。慢病管理组对疾病常识的知晓率得分为(81.31±6.77)分,高于对照组的(56.87±7.10)分,差异有统计学意义(t’=15.92,P＜0.05)。结论 将慢病管理模式用于军人消化性溃疡的防治,能显著提高溃疡的愈合率和Hp根除率,能提高患者对疾病常识的知晓率,减少复发。

Objective To evaluate the effect of management of chronic diseases in army men with peptic ulcer diseases.Methods Eighty-two army men with peptic ulcer diseases were randomly divided into the trial group(treatment via chronic diseases management,such as establishing health records,health education,regular follow-up,medical compliance and changing unhealthy habits n=42)and the control group(conventional treatment n=40).After treatment ,ulcer healing,Hp eradication,ulcer recurrence and the awareness of peptic ulcer were compared between the two groups.Results After treatment,the cure rate of ulcer was 97.6％ in the trial group,but was 72.5% in the control group.The difference was statistically significant(χ²=10.34,P＜0.05).The Hp eradication rate was 92.8％ in the trial group and 60.0％ in the control group,so the difference was also of statistical significance(χ²=14.81,P＜0.05).After two years of follow-up,the rate of ulcer recurrence in the trial group was 7.1％,which was significantly lower than 22.5％ in the control group. The difference was statistically significant(χ²=3.87,P＜0.05).The patients in the trial group had a higher awareness score of peptic ulcer than those in the control group,and the difference was statistically significant(t’=15.92,P＜0.05).Conclusions Treatment via chronic diseases management for peptic ulcer can effectively increase the healing rate,the eradication rate of Hp and the awareness score of peptic ulcer while decreasing recurrence remarkably.