摘要
Abstract
Objective:To Analysis the related death factors in hospitalized patients with gastrointestinal ulcer bleeding.Method:From January 2013 to June 2015,262 cases of gastric ulcer bleeding in our hospital were selected as the research objects,they were divided into the survival group of 220 cases and death group of 42 cases according to the results of the treatment,retrospective analysis of general information,gastroscopy and laboratory results for patients,the risk factors of death were analyzed by single factor and logistic multi factor analysis.Result:Two groups in age,drinking,coagulation abnormalities,took nonsteroidal body anti-inflammatory drugs (NSAID),ways to stop bleeding,rebleeding,complication,shock,hemoglobin (Hb),platelet (PLT),albumin (ALB),blood urea nitrogen (BUN),prostaglandin E2 (PGE2),thromboxane A2 (TXA2),the diameter of ulcer,Helicobacter pylori (H.pylori) infection and Forrest graded difference had statistical significance (P<0.05).Logistic multivariate regression analysis showed that age,took an NSAID,rebleeding,forrest classification<Ⅱb and H.pylori infection for the independent risk factors of gastrointestinal ulcer bleeding,hemoglobin and PGE2 were the protective factors for the death of gastrointestinal ulcer bleeding.Conclusion:Pay close attention and interven on risk factors, improve the related protective factors are sigificant for improving treatment efficiency and reducing death rate in curing gastrointestinal uncler bleeding.关键词
胃肠道溃疡/出血/死亡/危险因素Key words
Gastrointestinal ucler/Bleeding/Death/Risk factor
