摘要
目的分析影响肝硬化患者门静脉血栓(PVT)形成的相关因素。方法对我院197例肝硬化患者的临床资料进行回顾性分析,对可能引起肝硬化患者PVT形成的危险因素进行单因素分析和多因素Logistic回归分析。结果本研究197例肝硬化患者中有38例发生PVT,发生率为19.29%。单因素分析显示,PLT、NEU%、D-dimer、PV内径、存在PHG是引起肝硬化PVT形成的相关因素(P<0.05)。多因素Logistic回归分析显示,PLT、D-dimer水平高、PV内径大是引起肝硬化PVT形成的独立危险因素(P<0.05)。结论 PLT、D-dimer、PV内径是引起肝硬化PVT形成的独立危险因素,临床应增强对上述指标的监测,有利于肝硬化PVT形成的早期预防和治疗。
Objective To analyze the related factors affecting portal vein thrombosis（PVT） in patients with cirrhosis.Methods A retrospective analysis was performed on clinical data in 197 patients with cirrhosis. Univariate analysis and multivariate Logistic regression analysis were used to analyze the risk factors of PVT in cirrhotic patients. Results A total of 197 cirrhotic patients were enrolled in this study. Thirty-eight patients developed cirrhosis PVT with a rate of 19.29%. U-nivariate analysis showed that the PLT, NEU%, D-dimer, PV diameter and PHG were the relevant factors of PVT in cir-rhotic patients（P〈0.05）. Multivariate Logistic regression analysis showed that the high levels of PLT, D-dimer and large PV inner diameter were independent risk factors for the formation of PVT in cirrhotic patients（ P〈0.05）. Conclusion High levels of PLT, D-dimer and large PV inner diameter are the independent risk factors for PVT in cirrhotic patients. Monitor-ing the above indexes should be strengthened in order to achieve early prevention and treatment of PVT in cirrhosis.
作者
郭强
赵凯
GUO Qiang;ZHAO Kai(Third Internal Medicine Department,the Hospital of Fuping County,Weinan 711700,China)
出处
《临床医学研究与实践》
2018年第17期106-107,共2页
Clinical Research and Practice
