摘要
目的:分析探讨老年人消化性溃疡再出血的危险因素,为临床防治再出血提供理论依据。方法:选取200例消化性溃疡老年患者,其中再出血组100例,未出血组100例,采用问卷调查的方式对两组患者一般情况、疾病情况、服药情况、合并基础病及有无腹痛等进行调查统计,对调查结果进行统计分析。结果:再出血组女性占42%,未出血组占69.00%;再出血组68例(68.00%)合并基础疾病,未出血组42例(42.00%)合并基础疾病;再出血组58例(58.00%)有幽门螺旋杆菌感染,未出血组31例(31.00%)有幽门螺旋杆菌感染;再出血组58例(58.00%)无明显腹痛,未出血组31例(31.00%)无明显腹痛,两组差异均有统计学意义(P<0.05),再出血组NSAIDs及阿司匹林使用率明显高于未出血组,两组差异有统计学意义(P<0.05)。结论:引起高龄患者出血性消化性溃疡再出血有性别、服药情况、基础疾病等多种危险因素,临床上应予以重视,有针对性的采取合理的防治措施,以减少再出血发生率,促进患者溃疡愈合。
Objective： To investigate the bleeding risk factors of the elderly patients with chronic peptic ulcer,to provide the theory basis for clinical prevention.Method： Selecting 200 elderly patients with peptic ulcer,100 cases as bleed again group,100 cases as not bleeding group,using the questionnaire investigation to know the general situation,disease situation,medication,with basic disease,and presence of abdominal pain,then to analyze the investigation results.Result： 42% of the bleeding group were women,not bleeding group were 69.00%;68 examples（68.00%） o bleeding again group had basic diseases,not bleeding group were 42 cases（42.00%）;58 cases（58.00%） of the bleeding again group have helicobacter pylori infection,not bleeding were 31 cases（31.00%）;58 cases（58.00%） of the bleeding again group were without obvious abdominal pain,not bleeding group were 31 cases（31.00%）,two groups are statistically significant difference（P 0.05）,and bleeding and aspirin use NSAIDs group was higher than not bleeding group,two groups was statistically significant difference（P 0.05）.Conclusion： The bleeding again risk factors of the elderly patients with hemorrhagic peptic ulcer include sex,medication,basic diseases and others risk factors,It should be paid more attention,it is necessary to have specific aim to take reasonable prevention and control measures to reduce bleed again rate,promote the patient ulcer healing.
出处
《河北医学》
CAS
2012年第11期1555-1558,共4页
Hebei Medicine
