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目的分析食管、胃底静脉曲张患者内镜治疗后早期再出血的影响因素。方法选取天等县人民医院2014年5月—2015年6月收治的食管、胃底静脉曲张患者80例,均行内镜治疗,根据有无再出血情况分为对照组(n=68)和观察组(n=12)。观察记录两组患者腹腔积液、Child-Pugh评分、门静脉内径及血肌酐、血清钠水平、血小板计数,并采用多因素Logistic回归分析食管、胃底静脉曲张内镜治疗后早期再出血的影响因素。结果观察组患者腹腔积液情况差于对照组,Child-Pugh评分、门静脉内径、血肌酐、血小板计数高于对照组,血清钠低于对照组(P<0.05)。多因素Logistic回归分析结果显示,腹腔积液、血肌酐、血小板计数是影响食管、胃底静脉曲张患者内镜治疗后早期再出血的独立危险因素(P<0.05)。结论腹腔积液、血肌酐、血小板计数是影响食管、胃底静脉曲张患者内镜治疗后早期再出血的独立危险因素。
Objective To analyze the influencing factors of early rebleeding after endoscopic treatment of patients with esophageal and gastric varices. Methods Eighty patients with esophageal and gastric varices who were treated in Tian County People’s Hospital from May 2014 to June 2015 were enrolled in this study. Patients were divided into control group (n = 68) and control group according to the presence or absence of rebleeding Observation group (n = 12). The levels of ascites, Child-Pugh score, portal vein diameter, serum creatinine, serum sodium level and platelet count were recorded and recorded. The influencing factors of early rebleeding after esophageal and gastric varices endoscopy were analyzed by multivariate Logistic regression . Results The observation group had worse peritoneal effusion than the control group. Child-Pugh score, portal vein diameter, serum creatinine and platelet count were higher in the observation group than those in the control group. Serum sodium was lower than that in the control group (P <0.05). Multivariate Logistic regression analysis showed that ascites, serum creatinine and platelet count were independent risk factors for early rebleeding after esophageal and gastric varices endoscopy (P <0.05). Conclusions Ascites, serum creatinine and platelet count are independent risk factors for early rebleeding after endoscopic treatment of esophageal and gastric varices.