摘要
目的回顾分析内镜下食管静脉曲张套扎术后早期再出血的危险因素,为预防再出血提供理论依据。方法选取该院2013年6月‐2017年5月完成内镜下食管静脉曲张套扎术患者252例,采用非条件Logistic多元回归分析术后出血的影响因素。结果内镜下食管静脉曲张套扎术后早期出血发生率为9.52%(24/252);早期再出血的危险因素有食管静脉Grade分级(OR=0.024,P<0.05)、活化部分凝血活酶时间(APTT)(OR=0.718,P<0.05)、有无红色征(OR=3.297,P<0.05)、进食硬质食物(OR=2.583,P<0.05)和食管静脉曲张数量(OR=13.115,P<0.05)。结论 Grade分级高、APTT时间长、红色征阳性、进食硬质食物和食管静脉曲张数量多是患者的早期再出血的危险因素。
[Objective] To review the risk factors of early rebleeding after esophageal variceal ligation, to provide theoretical basis for the prevention of rebleeding. [Methods] A total of 252 patients underwent esophageal variceal ligation in our hospital from June 2013 to May 2017 were enrolled in the study. The factors influencing postoperative bleeding were analyzed by unconditional logistic multiple regression analysis. [Results] Postoperative early rebleeding rate of esophageal variceal ligation was 9.52% （24/252）. The risk factors of early rebleeding were esophageal varices grade （OR =0.024, P 〈0.05）, activated partial thromboplasting time （APTT） （OR =0.718, P 〈0.05）, red color sign （OR =3.297, P 〈0.05）, hard diet （OR =2.583, P 〈0.05） and esophageal varices （OR =13.115, P 〈0.05）. [Conclusion] High esophageal varices grade, long APTT, red sign positive, hard diet, numerous esophageal varices were the risk factors of early rebleeding in patients.
作者
苏有盛
吴封
SU Yousheng, WU Feng(1. Department of Gastroenterology, the First People＇s Hospital in Zhaoqing City, Zhaoqing, Guangdong 526400, China,＂ 2. Department of Gastroenterology, Luohu People＇s Hospital, Shenzhen, Guangdong 518001, Chin)
出处
《中国医学工程》
2018年第1期27-29,共3页
China Medical Engineering
