<原著>慢性膵炎における初発症状および臨床症候に関する成因別解析 : 自験例の検討

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In our previous study, we compared initial symptoms and frequencies of clinical symptoms/signs between alcoholic and non-alcoholic chronic pancreatitis using data from 4,083 patients, collected from 1977 to 1984 by The Research Group of Intractable Pancreatic Diseases sponsored by the Welfare Ministry of Japan in 1986. Significant differences were found in the initial symptoms and frequencies of clinical symptoms/signs between the two groups. In the present study from 1987 to 2001,we experienced 58 cases of the disease and analyze their initial symptoms and frequencies of clinical symptoms/signs. Using chi-square test, we found no significant difference in the initial symptoms and frequencies of clinical symptoms/signs between alcoholic and non-alcoholic chronic pancreatitis, although the sample size may have been too small. We compared the results of the present study with those of our previous one, using chisquare test to determine differences between expected and observed frequencies. A few differences between studies were observed. Among initial symptoms, back pain was less frequent in our second study, possibly owing to the subsequent development of therapy. Also, experienced cases were less serious. Among frequencies of clinical symptoms/signs, fever was more frequent in our second study, which may be due to infection as a complication. Elderly patients with infection were frequent among the experienced cases. However,no remarkable difference was observed in the two studies in terms of the frequencies of etiologically classified cases or in the initial symptoms and frequencies of clinical symptoms/signs. The results of our previous study thus remain applicable.
愛知医科大学の論文
2003-03-15

<原著>慢性膵炎における初発症状および臨床症候に関する成因別解析 : 自験例の検討

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