中国医学前沿杂志（电子版）2016，Vol.8Issue(4)：34-37,4.
肝硬化食管胃底静脉曲张破裂出血危险因素分析
Analysis of the risk factors of esophageal and gastric varices hemorrhage in patients with cirrhosis of liver
肖红英 1巫丽莎1
作者信息
- 1. 德阳市人民医院 消化内科，四川 德阳618000
- 折叠
摘要
Abstract
ObjectiveTo investigate the risk factors of esophageal and gastric varices hemorrhage in patients with cirrhosis of liver.MethodA retrospective study was conducted in 120 cirrhosis of liver patients with esophageal and gastric varices hemorrhage admitted in our hospital from April 2014 to April 2015 and 120 cirrhosis of liver patients without esophageal and gastric varices hemorrhage during the same period. The clinical data of the two groups were statistically analyzed and the risk factors werefiltered out.Result There was no significant difference in the etiology of the two groups (Z = 1.34, P > 0.05). There were significant differences in serum albumin, serum sodium and alkaline phosphatase levels between the two groups (P < 0.05), and there were no significant differences in other indexes (P > 0.05). Portal vein diameter, thickness of spleen and peptic ulcer, red syndrome, severity of the esophageal and gastric varices patients were significantly different between the two groups (P < 0.05). The liver function of patients in observation group were significantly inferior to control group (P < 0.05). Logistic regression analysis showed that red color sign, diameters of the portal vein were the independent risk factors of esophageal and gastric varices hemorrhage in patients with cirrhosis of liver and serum albumin and alkaline phosphatase (ALP) were the protective factors (P < 0.05). Conclusion Albumin, diameters of the portal vein, alkaline phosphatase and red syndrome are correlated with esophageal and gastric varices hemorrhage in patients with cirrhosis of liver, and can predict the occurance of esophageal and gastric varices hemorrhage, by improving the albumin can reduce the risk of esophageal and gastric varices hemorrhage in patients with cirrhosis of liver.关键词
肝硬化/食管胃底静脉曲张/出血/危险因素Key words
Cirrhosis of liver/Esophageal and gastric varices/Hemorrhage/Risk factor引用本文复制引用
肖红英,巫丽莎..肝硬化食管胃底静脉曲张破裂出血危险因素分析[J].中国医学前沿杂志（电子版）,2016,8(4):34-37,4.
