摘要
目的:分析消化内镜治疗非静脉曲张性上消化道出血后再出血的危险因素。方法:以2017年9月-2018年9月在笔者所在医院采用消化内镜治疗后发生再出血的37例非静脉曲张性上消化道出血患者作为观察组,以治疗后未见再出血的37例患者作为对照组,两组均采用消化内镜治疗,调取临床资料,从患者实验室指标、病因、入院时病情等多方面出发,对比两组差异,分析再出血的危险因素。结果:观察组血红蛋白、血小板计数均低于对照组,凝血酶原时间、血尿素氮均高于对照组,差异均有统计学意义(P<0.05),两组纤维蛋白原比较差异无统计学意义(P>0.05)。观察组入院时休克患者占比高于对照组,入院时出血时间长于对照组,差异均有统计学意义(P<0.05),两组消化性溃疡、恶性肿瘤、胃十二指肠糜烂、血管畸形患者占比差异无统计学意义(P>0.05)。结论:消化内镜治疗非静脉曲张性上消化道出血期间,入院时出血时间过长、休克、血红蛋白等实验室指标异常为诱发术后再出血的主要原因。需从上述角度出发,对再出血进行预防。
Objective:To analyse risk factors of recurrent bleeding after non-varicose upper gastrointestinal bleeding treated by digestive endoscopy.Method:From September 2017 to September 2018,37 patients with non-varicose upper gastrointestinal bleeding after digestive endoscopy were used as the observation group and the patients without rebleeding as the control group.Both groups were treated with digestive endoscopy.The clinical data of the two groups were obtained.The similarities and differences between the two groups were compared from the laboratory indexes,etiology,condition at admission and other aspects,and the risk factors of rebleeding were analyzed.Result:The hemoglobin and platelet count in the observation group were lower than those in the control group,prothrombin time and blood urea nitrogen were significantly higher than those in the control group,the differences were statistically significant(P<0.05),but there was no significant difference in Fibrinogen between the two groups(P>0.05).The proportion of the patients with shock in the observation group was higher than that of the control group,and the bleeding time was longer than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the proportion of peptic ulcer,malignant tumor,gastroduodenal erosion and vascular malformation between the two groups(P>0.05).Conclusion:During the treatment of non-varicose upper gastrointestinal bleeding by digestive endoscopy,the bleeding time at admission was too long,and the laboratory indexes such as shock and hemoglobin were abnormal,which were the main causes of postoperative rebleeding.From the above point of view,it is necessary to prevent rebleeding.
作者
彭敦煌
PENG Dunhuang(Jinjiang Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Jinjiang 362200,China)
出处
《中外医学研究》
2019年第35期152-154,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
消化内镜
非静脉曲张性上消化道出血
再出血
危险因素
Digestive endoscopy
Non-variceal upper gastrointestinal bleeding
Rebleeding
Risk factors
