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非甾体抗炎药相关性上消化道出血的临床分析 被引量:3

Clinical analysis of non-steroidal anti-nflammatory drugs associated upper gastrointestinal bleeding
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摘要 目的探讨非甾体抗炎药(NSAIDs)相关性上消化道出血的临床及内镜特点。方法对177例上消化道出血病人的临床资料进行回顾性分析,根据出血前1周内是否服用NSAIDs分为NSAIDs组(36例)和非NSAIDs组(141例)。对比分析两组患者的临床资料。结果177例上消化道出血患者中有36例(20.34%)服用过NSAIDs。两组比较,NSAIDs组在年龄、溃疡类型、临床症状等方面均有显著差异,但在性别、Hp阳性率、既往溃疡病史上无显著性差异。结论加强对非甾体抗炎药相关性上消化道出血的认识,合理用药,并采取相应措施,以降低使用NSAIDs引起上消化道出血的风险。 Objective To evaluate the clinical characteristics of non-steroidal anti-inflammatory drugs (NSAIDs) associated upper gastrointestinal bleeding. Methods Clinical datas of 177 patients with upper gastrointestinal bleeding were analysed retroversionally. Patients were divided into two groups based on whether consumed NSAIDs within 7 days previous to the onset of bleeding. Results 36 (20.34%) of 177 patients with upper gastrointestinal bleeding consumed NSAIDs. There was significandy difference between NSAIDs group and no NSAIDs group in age of patients, types of ulcer, clinical symptom. But there was no significant difference in sex and Helicobacter pylori(HP) infection. Conclusions The clinical characteristics of NSAIDs associated upper gastrointestinal bleeding, should be better understood so as to decrease the occurrence of NSAIDs ulcer and its complication.
出处 《海南医学》 CAS 2007年第5期9-10,共2页 Hainan Medical Journal
关键词 非甾体抗炎药 上消化道出血 non-steroidal anti-inflammatory drugs(NSAIDs) upper gastrointestinal bleeding
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参考文献6

  • 1李军婷,李兆申,刘厚珏,王吉耀,江石湖,袁耀宗,王根生.非甾体抗炎药致上消化道出血的临床特征[J].中华消化内镜杂志,2001,18(3):151-154. 被引量:146
  • 2Somerville K.Faulkner G.Langnan M.Nonsteroidal anti-inflammatory drugs and bleeding peptic ulcer.Lancet,1986,1:462-464.
  • 3Cappeu MS,Feng PH,Azuma T,et al.Diagnosis and treatment ofnonsteroidal anti -inflammatory drug-associated upper gastrointestinal toxicity.Gastroenterol Clin North Am,2000,29:97-124.
  • 4张莉,吕愈敏,丁士刚,廖振林.非甾体抗炎药相关性溃疡并出血的临床特点[J].中华内科杂志,2003,42(4):258-260. 被引量:17
  • 5Weil J,Langman M J,Wain wright P,et al.Peptic ulcer bleeding accessory risk factors and interactions with non-steroidal anti-inflammatory drugs.Gut,2000,40:27-31.
  • 6Aalykle C.Lauritsen JM,Hallas J,et al.Helicobacter pylori an d risk of ulcer bleeding among users of nonsteroidal anti-inflammatory drugs:a case-control study.Gastroenterology,1999,116:1305-1309.

二级参考文献16

  • 1Kim JG, Graham DY. Helicobacter pylori infection and development of gastric or duodenal ulcer in arthritic patients receiving chronic NSAIDs therapy. The misoprostol study group. Am J Gastroenterol,1994, 89:203-207.
  • 2Wu CY, Poon SK, Chen GH, et al. Interaction between Helicobacter pylori and non-steroidal anti-inflammatory drugs in peptic ulcer bleeding. Scand J Gastroenterol, 1999,34:234-237.
  • 3Weil J, Colin-Jones D, Langnan M, et al. Prophylactic aspirin and risk of peptic ulcer bleeding. BMJ, 1995,310:827-830.
  • 4Soll A . Pathogenesis of non-steroidal anti-inflammatory drugs-related upper gastrointestinal toxicity. Am J Med, 1998,105 (SA) :10S-16S.
  • 5Cryer B, Redfem JS, Goldschmiedt M, et al. Effect of aging on gastric and duodenal mucosal prostaglandin concentrations in humans. Gastroenterology, 1992,102(4 Pt 1) :1118-1123.
  • 6Aalykke C, Lauritsen JM, Hallas J, et al. Helicobacter pylori and risk of ulcer bleeding among user of non-steroidal anti-inflammatory drugs: a case-control study. Gastroenterology, 1999, 116: 1305-1309.
  • 7Singh G,Ramey DR,Morfeld D,et al.Gastrointestinal tract complications of nons teroidal anti- inflammatory drug treatment in rheumatoid arthritis:A prospectiv e observational cohort study[].Archives of Internal Medicine.1996
  • 8Hernandez DS,Rodriguez LA.Association between nonsteroidal anti- inflammat ory drugs and upper gastrointestinal tract bleeding/perforation:an overview of epidemiologic studies published in the 1990S[].Archives of Internal Medicine.2000
  • 9Hsu PI,Lai KH,Tseng HH,et al.Risk factors for presentation with bleeding i n patients with Helicobacter pylori- related peptic ulcer diseases[].J Clin Gastr oenterol.2000
  • 10Slattery J,Warlow CP,Shorrock CJ,et al.Risk of gastrointestinal bleedin g during secondary prevention of vascular events with aspirin- analysis of gas trointestinal bleeding during the UK- TLA trial[].Gut.1995

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