摘要
目的探讨肝硬化消化道出血并急性肠系膜静脉血栓形成的影响因素.方法取2015-01/2016-12医院收治肝硬化消化道出血并急性系膜静脉血栓患者60例,设为观察组.取同期入院收治肝硬化消化道出血患者60例,设为对照组.采用医院自拟问卷调查表对患者一般资料进行统计分析并等进行单因素和多因素非条件Logistic分析.结果肝硬化消化道出血并急性肠系膜静脉血栓形成与肝硬化病程、高血压、自身免疫性、白细胞、白蛋白差异无统计学意义(P>0.05);肝硬化消化道出血并急性肠系膜静脉血栓形成与糖尿病、脾切除史、硬化剂治疗史、血红蛋白、血小板差异有统计学意义(P<0.05);非条件Logistic多因素显示:肝硬化消化道出血并急性肠系膜静脉血栓形成与糖尿病、脾切除史、硬化剂治疗史、血红蛋白、血小板差异有统计学意义(P<0.05).结论肝硬化消化道出血并急性肠系膜静脉血栓形成影响因素较多,应根据危险因素采取有效的措施进行干预处理,降低急性肠系膜静脉血栓发生率.
AIM To identify the risk factors for acute mesenteric venous thrombosis in cirrhotic patients with gastrointestinal hemorrhage. METHODS From January 2015 to December 2016, 60 cirrhotic patients with gastrointestinal hemorrhage and acute mesenteric venous thrombosis were included as an observation group, and 60 patients with gastrointestinal bleeding only were enrolled into a control group. The clinical data of the patients were analyzed using a self-made questionnaire, and univariate and multivariate unconditional logistic analyses were performed to identify the risk factors for acute mesenteric venous thrombosis RESULTS Univariate analysis showed that there were no significant differences in the course of cirrhosis, hypertension, autoimmune status, white blood cells, or albumin between the two groups （P 〉 0.05）, but diabetes mellitus, history of splenectomy, sclerotherapy history, hemoglobin, and platelet count differed significantly （P 〈 0.05）. Unconditional Logistic multivariate analysis showed that diabetesmellitus, history of splenectomy, sclerotherapy history, hemoglobin, and platelet count were independent risk factors for acute mesenteric venous thrombosis in cirrhotic patients with gastrointestinal hemorrhage （P 〈 0.05）. CONCLUSION There are many risk factors for acute mesenteric venous thrombosis in cirrhotic patients with gastrointestinal hemorrhage, and effective measures should be taken according to the risk factors to reduce the incidence of acute mesenteric venous thrombosis.
出处
《世界华人消化杂志》
CAS
2017年第15期1396-1399,共4页
World Chinese Journal of Digestology
关键词
肝硬化
消化道出血
急性肠系膜静脉血栓
影响因素
Cirrhosis
Gastrointestinal bleeding
Acute mesenteric venous thrombosis
Risk factors
