• 溃疡性结肠炎并发肠外表现的危险因素分析
  • Analysis of risk factors for ulcerative colitis complicated with extrenteral manifestations
  • DOI:
    中文关键词:  溃疡性结肠炎  临床分型  肠外表现  危险因素  临床特征
    英文关键词:Ulcerative colitis  Clinical classification  Parenteral manifestations  Risk factors  Clinical features
    基金项目:
    作者单位邮编
    孟欣* 南阳市第一人民院 473000
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    中文摘要:
          【摘要】 目的 分析溃疡性结肠炎并发肠外表现的危险因素。方法 选取2021年1月至2024年10月收治的265例溃疡性结肠炎患者为研究对象,收集患者性别、年龄等一般资料,临床分型、病变范围等疾病情况以及抗中性粒细胞抗体、白蛋白水平等实验室指标,根据患者是否合并有肠外表现将其分为研究组与对照组,分析溃疡性结肠炎并发肠外表现的危险因素。结果 265例溃疡性结肠炎患者中136例(51.32%)合并肠外表现,其中葡萄膜炎6例(2.26%)、巩膜炎8例(3.02%)、结节性红斑12例(4.53%)、坏疽性脓皮病16例(6.04%)、口腔溃疡21例(7.92%)、中轴型性关节炎28例(10.57%)、周围性关节炎66例(24.91%)、其他29例(10.94%),且38例(27.94%)合并2种及其以上肠外表现。多因素logistic回归分析结果显示,有家族史、广泛结肠型、病情程度为重度以及高水平血沉、CRP、TNF-α、IL-6为溃疡性结肠炎患者合并肠外表现的独立危险因素(P<0.05)。结论 有家族史、广泛结肠型、病情程度为重度以及高水平血沉、CRP、TNF-α、IL-6为溃疡性结肠炎患者并发肠外表现的独立危险因素。
    英文摘要:
          【 Abstract 】 Objective To analyze the risk factors of ulcerative colitis complicated with extrenteral manifestations. Methods 265 patients with ulcerative colitis admitted from January 2021 to October 2024 were selected as the study objects. General data such as gender and age, disease conditions such as clinical classification and lesion scope, and laboratory indicators such as anti-neutrophil antibodies and albumin levels were collected. The patients were divided into study group and control group according to whether they had combined parenteral manifestations. To analyze the risk factors of ulcerative colitis complicated with extrenteral manifestations. Results 136 (51.32%) of 265 patients with ulcerative colitis had parenteral manifestations. Among them, there were 6 cases of uveitis (2.26%), 8 cases of scleritis (3.02%), 12 cases of erythema nodosum (4.53%), 16 cases of pyoderma gangrene (6.04%), 21 cases of oral ulcer (7.92%), 28 cases of axial arthritis (10.57%), 66 cases of peripheral arthritis (24.91%), and 29 cases of other diseases (7.92%). 10.94%), and 38 cases (27.94%) were combined with two or more kinds of parenteral manifestations. Multivariate logistic regression analysis showed that family history, extensive colonotype, severity of disease and high level of ESR, CRP, TNF-α and IL-6 were independent risk factors for patients with ulcerative colitis complicated with parenteral manifestations (P < 0.05). Conclusion Family history, extensive colonotype, severity of disease and high level of ESR, CRP, TNF-α and IL-6 are independent risk factors for extrenteral manifestations in patients with ulcerative colitis.