飞行人员十二指肠复发性溃疡13例临床报告

来源 :中华航空航天医学杂志 | 被引量 : 0次 | 上传用户:QIANNENGWUXIAN
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1990~1996年,本院共收治飞行人员复发性溃疡13例,占同期溃疡病的50%,其中停飞8例,占61.53%,因反复住院治疗及地面观察时间较长,给部队战斗力带来一定影响,因此飞行人员复发性溃疡的预防,以及如何降低溃疡病的复发率逐渐为临床医师所重视。本文通过对临床资料的分析,揭示了溃疡病复发的原因:巩固治疗用药不足,落实不够,喜食酸辣等刺激性食物,嗜好烟酒,以及飞行职业、社会、家庭、人际关系引发的不良心理因素和高空环境等的影响。针对上述原因笔者提出如下建议:做好溃疡病的系统治疗,以彻底清除幽门螺杆菌为目的,采用三联用药并适当延长用药时间;疗养院、部队须重视抗复发治疗;积极治疗并发症、合并症等。此外,教育患者自觉去除不良饮食习惯,坚持作息制度,养成良好的生活习惯和开展积极向上的文体活动,以提高机体的抗病能力,同样对减少溃疡病的复发是有益的。 From 1990 to 1996, 13 cases of recurrent ulceration of pilots were admitted to our hospital, accounting for 50% of the ulcer cases in the same period. Among them, 8 cases were grounded, accounting for 61.53%. Due to repeated hospitalization and ground observation for a long time, Combat effectiveness will have a certain impact, so pilots prevention of recurrent ulcers, and how to reduce the recurrence rate of ulcer disease gradually clinicians value. Through the analysis of clinical data, this article reveals the reasons for the recurrence of ulcer disease: Consolidating the treatment of inadequate medication, insufficient implementation, eating spicy food such as irritation, alcohol and tobacco hobby, and flight career, social, family, interpersonal relationship-induced malnutrition Psychological factors and the impact of high-altitude environment. In view of the above reasons, I made the following suggestions: To do a systematic treatment of ulcer disease, in order to completely eliminate Helicobacter pylori for the purpose of triple therapy and appropriate extension of medication time; nursing homes, troops should pay attention to anti-relapse therapy; active treatment of complications, complications Wait. In addition, educating patients consciously remove unhealthy eating habits, adhere to rest and rest system, develop good habits and carry out positive and progressive sports activities, in order to improve the body’s resistance to disease, also reduce the recurrence of ulcer disease is beneficial.
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