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投稿时间:2025-04-30 网络发布日期:2025-07-21
投稿时间:2025-04-30 网络发布日期:2025-07-21
中文摘要: 目的 探讨基于互联网的综合模式随访教育对初发性高脂血症性急性胰腺炎(HLAP)患者出院后治疗效果的影响。方法 纳入2019年2月至2022年2月东南大学附属徐州市中心医院消化内科收治的120例初发性HLAP患者,随机分为对照组和观察组,各60例。对照组仅采取常规治疗,观察组在常规治疗的基础上接受来自医生的互联网综合模式随访教育。比较两组患者的血清三酰甘油(TG)、C反应蛋白(CRP)和白介素-6(IL-6)水平,急性胰腺炎复发率、治疗依从性及生活质量[36条简明健康状况调查表(SF-36)]情况。结果 观察组出院后1、3、6、12个月的SF-36评分高于对照组,差异有统计学意义(P<0.05)。观察组治疗完全依从率高于对照组(71.67% vs 43.33%,χ2=9.855,P=0.002)。观察组1年内复发率低于对照组(13.33% vs 35.00%,χ2=7.685,P=0.006)。观察组出院时和出院后1、3、6、12个月TG水平均低于对照组(P<0.05);出院后1、3个月时,观察组CRP、IL-6水平低于对照组(P<0.05)。结论 基于互联网的综合模式教育对降低初发性HLAP患者的复发率和提高患者的生活质量有重要作用。
Abstract:Objective To investigate the impact of internet-based comprehensive follow-up education on the treatment efficacy of patients with first-episode hyperlipidemic acute pancreatitis(HLAP)after discharge. Methods A total of 120 patients with first-episode HLAP admitted to the Department of Gastroenterology at Xuzhou Central Hospital Affiliated to Southeast University from February 2019 to February 2022 were enrolled and randomly divided into a control group and an observation group,with 60 patients in each group. The control group received only conventional treatment,while the observation group received additional internet-based comprehensive follow-up education from physicians. The serum triglyceride(TG),C-reactive protein(CRP),and interleukin-6(IL-6)levels,recurrence rate of acute pancreatitis,treatment compliance,and quality of life[Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)]were compared between the two groups.Results The SF-36 scores of the observation group at 1,3,6,and 12 months after discharge were higher than those of the control group,with statistically significant differences(P<0.05). The complete treatment compliance rate in the observation group was higher than that in the control group(71.67% vs 43.33% ,χ2=9.855,P=0.002). The 1-year recurrence rate in the observation group was lower than that in the control group(13.33% vs 35.00%,χ2=7.685,P=0.006). The TG levels in the observation group at discharge and at 1,3,6,and 12 months after discharge were lower than those in the control group(P<0.05). At 1 and 3 months after discharge,the CRP and IL-6 levels in the observation group were lower than those in the control group(P<0.05). Conclusion Internet-based comprehensive education plays a significant role in reducing the recurrence rate and improving the quality of life inpatients with first-episode HLAP.
keywords: Hyperlipidemic acute pancreatitis Hyperlipidemia Acute pancreatitis Internet Follow-up education Recurrence rate Treatment compliance Quality of life
文章编号: 中图分类号:R576 文献标志码:A
基金项目:江苏省卫生健康委科研项目(M2021025)
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引用文本:
张嫚嫚,李博睿,桑梦珠,苏静,陈玮煦,汪晓红,陈永强,张海燕.基于互联网的综合模式随访教育对初发性高脂血症性急性胰腺炎患者的影响[J].中国临床研究,2025,38(7):1030-1033.
张嫚嫚,李博睿,桑梦珠,苏静,陈玮煦,汪晓红,陈永强,张海燕.基于互联网的综合模式随访教育对初发性高脂血症性急性胰腺炎患者的影响[J].中国临床研究,2025,38(7):1030-1033.
