期刊文献+

肝硬化患者并发急性上消化道出血的相关危险因素对照研究 被引量:2

The control Study of Related Risk Factors for Acute Upper Gastrointestinal Bleeding in Patients with Cirrhosis
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摘要 目的:分析导致肝硬化并发上消化道出血的相关危险因素,为肝硬化的治疗提供理论依据。方法:采用单因素卡方检验和多因素非条件性Logistic回归对68例肝硬化并发急性上消化道出血的危险因素进行了1:3病例对照组研究。结果:食管静脉曲张程度为Ⅱ,Ⅲ,胃底静脉曲张,胃溃疡,门静脉内径增粗是肝硬化并发消化道出血的危险因素。结论:肝硬化失代偿期患者特别是有出血相关危险因素的患者进行必要的干预与治疗,对降低急性上消化道出血的风险具有重要的临床意义。 Objective:To analyze the risk factors of acute upper gastrointestinal bleeding in patients with cirrhosis,to provide a theoretical basis for the treatment of cirrhosis.Methods:68 patients with acute upper gastrointestinal bleeding in patients with cirrhosis were conducted a 1:3 case-control study with a single-factor chi-square test and multivariate non-conditional Logistic regression.Results:The degree of esophageal varices Ⅱ,Ⅲ,varices and gastric ulcer,portal vein thickening were the risk factors of acute upper gastrointestinal bleeding in patients with cirrhosis.Conclusion:Given necessary intervention and treatment for patients with decompensated cirrhosis,especially associated risk factors of bleeding has important clinical implications for reducing the risk of acute upper gastrointestinal bleeding.
作者 罗艺珍 甘耀
出处 《中国医药导刊》 2012年第11期1899-1900,共2页 Chinese Journal of Medicinal Guide
关键词 肝硬化 上消化道出血 危险因素 Cirrhosis Upper gastrointestinal bleeding Risk factors
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参考文献10

  • 1Gonzalez-Gonzatlez JA,Garcia-Compcan D,Vfizcluez-Elizondo G,et al.Nonvariceal upper gastrointestinal bleeding in patients with liver cirrhosis.Clinical features,outcomes and predictors of in-hospital mortality.A prospective study[J].Ann Hcpatol,2011; 10(3):287-295.
  • 2Lecleire S,Di Fiore F, Merle V, et al.Acute upper gastrointestinal bleeding in patients with liver cirrhosis and in noncirrhotic patients:epidemiology and predictive factors of mortality in a prospective multicenter population-based study[J].J Clin Gastroenterol,2005;39(4):321-327.
  • 3病毒性肝炎防治方案[J].中华内科杂志,2001,40(1):62-68. 被引量:416
  • 4Silkauskaite V, Pranculis A,Mitraite D,et.aI.Hepatic venous pressure gradient measurement in patients with liver cirrhosis:a correlation with disease severity and varieeal bleeding[J].Medieina (Kaanas),2009;45(1):8-13.
  • 5Wechowski J,Connolly M,Woehl A,et al.An economic evaluation of vasoactive agents used in the United Kingdom for acute bleeding oesophageal varices in patients with liver cirrhosis[J].Curr Med Res Opin,2007;23(7):1481-1491.
  • 6吕静.肝硬化食管静脉曲张破裂出血危险因素的Logistic分析[J].中国现代药物应用,2009,3(16):66-67. 被引量:7
  • 7陈福春,潘琦,洪玉才.肝硬化患者并发急性上消化道出血的危险因素分析[J].浙江实用医学,2005,10(6):383-385. 被引量:7
  • 8贾玉明,乔培堂.肝硬化患者并发急性上消化道出血的危险因素分析[J].长治医学院学报,2011,25(3):184-187. 被引量:12
  • 9索宝军,周丽雅,丁士刚,郭长吉,顾芳,郑亚安.急性消化道出血的病因及其相关因素分析[J].中华医学杂志,2011,91(25):1757-1761. 被引量:61
  • 10Bai Y, Peng J,Gao J.Epidemiology of lower gastrointestinal bleeding in China:Singlecenter series and systematic analysis of Chinese literature with 53951 patients[J].J Gastyoenterol Hcpatol,2011;26(4):678--682.

二级参考文献32

  • 1陆星华,张泰昌.食管胃静脉曲张内镜下诊断和治疗规范试行方案(2003年)[J].中华消化内镜杂志,2004,21(3):149-151. 被引量:431
  • 2陈福春,潘琦,洪玉才.肝硬化患者并发急性上消化道出血的危险因素分析[J].浙江实用医学,2005,10(6):383-385. 被引量:7
  • 3Merli M, Nicolini G, Angeloni S, et al. Incidence and natural history of small esophageal varices in cirhotic patients. J Hepatol,2003,38 ( 2 ) : 266 -272.
  • 4Atti EA,Nevens F,Bogaerts K, et al. Variceal pressure isa strongpredic2tor of variceal haemorrhage inpatientswith cirrhosis aswell asinpatientswith noncirrhotic portal hypertension. Gut, 1999,45(4) :618.
  • 5Merkel C, Zoli M, Siringo S, et al . Prognostic indicators of risk for first varietal bleeding in cirrhosis: a muhicenter study in 711 patients to valid 2 date and improve the North Italian Endoscopic Club (NIEC) Index. AmJ Gastroenterol, 2000, 95(10):2915.
  • 6Kashyap R, Mahajan S, Sharma B. A clinical profile of acute upper gastrointestinal bleeding at moderate altitude. JIACM,2005, 6 : 224-228.
  • 7Ibanez L, Vidal X, Vendrell L, et al. Upper gastrointestinal bleeding associated with antiplatelet drugs. Aliment Pharmacol Ther, 2006, 23:235-242.
  • 8Rahme E, Bematsky S. NSAIDs and risk of lower gastrointestinal bleeding. Lancet, 2010, 376 : 173-179.
  • 9Kaviani MJ, Pirastehfar M, Azari A, et al. Etiology and outcome of patients with upper gastrointestinal bleeding: a study from South of Iran. Saudi J Gastroenterol,2010, 16:253-259.
  • 10Judith KH. Lower gastrointestinal bleeding: therapeutic strategies. Eur Surg ,2002, 34:230-233.

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