1.Diagnosis and analysis of 101 cases of Strongyloides stercorali infection in Laibin City, Guangxi from 2017 to 2023
WEI Xinyan ; LU Yan ; WEI Fengni
China Tropical Medicine 2024;24(10):1287-
Objective To analyze the clinical characteristics of 101 patients with Strongyloides stercoralis infection in Xingbin District, Laibin City from 2017 to 2023, providing data for the prevention and control of strongyloidiasis. Methods Clinical data of 101 patients diagnosed with Strongyloides stercoralis infection at Xingbin District People's Hospital from 2017 to 2023 were collected. Statistical analysis was performed on patients' symptoms, anemia status, age, gender, occupation, education level, and other relevant factors. Results Among the 101 cases of Strongyloides stercoralis infection, there were 79 males and 22 females, with a male-to-female ratio of 3.6∶1. The majority of patients were from rural areas, primarily engaged in agriculture, and had a lower level of education. The average age was (65.32±12.48) years, with 67 elderly patients over 60 years old (accounting for 66.64%). Only about one-third of the patients showed gastrointestinal symptoms, but most patients had other comorbid conditions such as lung infection (28.7%), hypertension (24.6%), gouty and rheumatoid arthritis (18%), diabetes (13%), and malignant tumors (12%). Laboratory tests revealed that most patients (>40%) had anemia, positive fecal occult blood, and eosinophilia. Conclusions Strongyloides stercoralis infection in Xingbin District, Laibin City, predominantly affects elderly individuals with low levels of education from rural areas, with more males than females. Only some patients present with gastrointestinal symptoms such as abdominal pain and diarrhea, but most exhibit comorbid conditions including pulmonary infection, hypertension, gout, rheumatoid arthritis, diabetes, malignant tumors, etc. Coinfection poses a risk of accelerating and exacerbating disease progression, underscoring the need to strengthen the prevention and control of local Strongyloides stercoralis infection.
2.Systematic review and Meta-analysis of incidence of oral feeding intolerance in acute pancreatitis
Zhengyan LI ; Fengni XIE ; Yan ZHAO ; Wei HUANG ; Changqing WANG ; Bin BAI ; Xiaoyong WU ; Pengfei YU ; Xiaolong LI ; Quanxin FENG ; Qingchuan ZHAO
International Journal of Surgery 2018;45(1):29-32,封3
Objective To systemically review andquantify the incidence of oral feeding intolerance in acute pancreatitis. Methods Randomized controlled trials that reported the oral feeding intolerance rates of acute pancreatitis were searchedfrom PubMed, EMBASE, Medline, Cochrane Library, WanFang, CNKI, CMCC and VIP dal,abase wilh the" Acute pancreatitis " " Feeding intolerance" " Incidence" " Meta- analysis "from January 2002 to May 2017. Date were analyzed by using R 3. 4. 0 software. The heterogeneity of data were analyzed using 12test. Results Eleven randomized controlled trials including 658 cases were enrolled in Meta-analysis. The incidence of oral feeding of intolerance was 12. 2% . The result of subgroup analysis showed that there were no significant difference in the incidence of oral feeding intolerance when region, sample size and published year were taken into analysis (P > 0. 05). The oral feeding intolerance rate of mild acute pancreatitis was lower than that when moderately severe acute pancreatitis and severe acute pancreatitis were, included (8. 2% and 19. 9% , respectively; P = 0. 002 7). Conclusion Oral feeding intolerance affects approximately l in 8 patients with acute pancreatitis. The incidence of oral feeding intolerance of patients with severe acute pancreatitis is higher than that of patients with mild acute pancreatitis

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