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急性上消化道出血预后相关危险因素分析

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目的 分析急性上消化道出血预后相关危险因素.方法 回顾性选取2021年7月—2022年7月乌兰察布市中心医院收治的90例急性上消化道出血患者的临床资料,依据患者预后情况分为预后不良组(45例)和预后良好组(45例).比较两组性别、年龄、肝病病史、呕血、意识障碍、合并幽门螺杆菌感染的差异,通过多因素Logistic回归分析急性上消化道出血预后相关危险因素.结果 预后良好组的年龄、肝病病史、呕血、意识障碍、合并幽门螺杆菌感染与预后不良组比较,差异有统计学意义(P均<0.05).年龄≥60岁、有肝病病史、呕血、存在意识障碍、合并幽门螺杆菌感染为急性上消化道出血预后不良的危险因素(P均<0.05).结论 年龄≥60岁、肝病病史、呕血、意识障碍、合并幽门螺杆菌感染为急性上消化道出血预后不良的危险因素,围术期需做好预防工作.
Analysis of Prognosis-related Risk Factors for Acute Upper Gastrointesti-nal Bleeding
Objective To analyze the prognosis-related risk factors of acute upper gastrointestinal bleeding.Methods The clinical data of 90 patients with acute upper gastrointestinal bleeding admitted to Ulanqab Center Hospital from July 2021 to July 2022 were retrospectively selected,and the patients were divided into the group with poor prognosis(45 cases)and the group with good prognosis(45 cases)according to their prognosis.The differences in gender,age,history of liver disease,vomiting blood,impaired consciousness,and combined Helicobacter pylori infection were com-pared between the two groups,and the risk factors related to the prognosis of acute upper gastrointestinal bleeding were analyzed by multifactorial Logistic regression.Results The differences in age,history of liver disease,vomiting blood,impaired consciousness,and combined Helicobacter Pylori infection in the good prognosis group were statisti-cally significant when compared with those in the poor prognosis group(all P<0.05).Age≥60 years,history of liver disease,vomiting blood,presence of impaired consciousness,and combined Helicobacter pylori infection were risk fac-tors for poor prognosis of acute upper gastrointestinal bleeding(all P<0.05).Conclusion Age≥60 years,history of liver disease,vomiting blood,presence of impaired consciousness,and combined Helicobacter pylori infection are risk factors for poor prognosis of acute upper gastrointestinal bleeding,and perioperative prophylaxis is needed.

Acute upper gastrointestinal bleedingPrognosisRisk factorsMultiplicity analysis

高伟华、赵杰、李晓敏

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乌兰察布市中心医院消化内科,内蒙古 乌兰察布 012000

急性上消化道出血 预后 危险因素 多因素分析

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)