首页|非老年急性上消化道出血的危险因素及临床治疗效果分析

非老年急性上消化道出血的危险因素及临床治疗效果分析

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目的:探讨和分析非老年急性上消化道出血的危险因素及临床治疗效果。方法:本次研究共纳入急性上消化出血患者178例,均经上消化道内镜诊断后确诊,年龄<60岁47例患者记为非老年组;年龄>60岁131例患者为老年组,均行性别、年龄、饮食、非甾体类消炎药物、冠状动脉疾病等危险因素分析(卡方值检验),对非老年组行Logistic回归分析,同时对比两组患者临床治疗效果。结果:非老年性急性上消化道出血患者47例,占26.40%;危险因素主要为不健康饮食(95%CI=2.19-36.59;OR:9.66,P<0.05)、冠状疾病史(95%CI=1.19-15.59;OR:4.62,P<0.05)、阿司匹林治疗史(95%CI=2.79-11.19;OR:4.56,P<0.05)及男性(95%CI=1.79-16.59,OR值:4.56,P<0.05);行常规二联疗法治疗发现,非老年组总治疗有效率(91.49%,43/47)明显高于老年组(74.05%,97/131),对比差异显著(P<0.05)。结论:非老年急性上消化道出血的危险因素主要为不健康饮食、冠状动脉疾病及男性等,应用奥曲肽联合奥美拉唑二联法治疗,临床疗效显著。
Objectives To investigate and analyze the risk factors and Clinical therapeutic effect of non- senile upper gastrointestinal bleeding. Methods This study included 178 patients with acute upper digestive bleeding, who were diagnosed by upper gastrointestinal endoscopy. Age <60 years old in 47 patients were recorded as non elderly group;131 patients older than 60 years old group, and Logistic regression analysis. And also we analyzed the clinical therapeutic effect. Results There were 47 cases of non- senile upper gastrointestinal bleeding patients, the rate was 26.40%;The risk factors were mainly unhealthy diet (5%CI=2.19- 36.59;OR:9.66,P<0.05)、coronary disease history ( 95%CI=1.19- 15.59,OR:4.62,P<0.05), aspirin therapy history (95%CI=2.79- 11.19,OR:4.56, P<0.05) and men (95%CI=1.79- 16.59, OR:4.56, P<0.05);After routine duplex therapy,the non- senile group’s total treatment effective rate (91.49%, 43/47)was significantly higher than the senile group’s (74.05%,97/131), with a significant difference (P<0.05). Conclusions Non- senile acute upper gas-trointestinal bleeding’s risk factors are mainly unhealthy diet, coronary artery disease and gender.Use octreotide combined with omeprazole as duplex therapy, the clinical curative ef ect would be significant.

non- senile upper gastrointestinal bleedingrisk factorscause of il nessclinical curative effect

黄靓、毛振江、李国庆

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南华大学附属第二医院 湖南 421001

非老年性急性上消化道出血 危险因素 病因分析 疗效

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(13)
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