76例无痛性上消化道出血相关因素分析

The Analysis on 76 Cases of Painless Upper Gastrointestinal Hemorrhage and its Relevant Factors

目的探讨黔东南地区无痛性上消化道出血与病因、性别、年龄、城乡地域差别等相关因素的关系。方法对2004年1月-2006年12月间收治的623例UGB中76例无痛者临床资料进行统计学分析。结果1．胃溃疡、十二指肠球部溃疡、急性胃粘膜病变、慢性胃炎等为无痛性上消化道出血主要病因，消化性溃疡居首位，在活动性出血病因中也占绝大多数。2．男性上消化道出血及无痛者较女性多见，男性中无痛者占12．58％，女性中无痛者占11．29％，P〉0．05。3．青年组上消化道出血中无痛者占8．33％，中年组占10．11％，老年组占20．12％，P〈0．05。4．乡村病员上消化道出血中无痛者占15．62％，城镇病员中占6．19％，P〈0．05。结论消化性溃疡是无痛性上消化道出血的最主要病因。病因、性别、年龄、城乡差别等为无痛性上消化道出血的相关因素。

Objective： To discuss the relationship between painless upper gastrointestinal hemorrhage （UGH） and its causes, sex, age and the difference between urban and rural areas. Methods Statistical analyzed the information of 76 cases with painless upper gastrointestinal hemorrhage from Jan. 2004 to Dec. 2006. Results 1. The main causes of painless upper gastrointestinal hemorrhage were gastric ulcer, duodenal ulcer, acute gastric mucosal lesion, chronic gastritis and so on. Peptic ulcer was ranked the first and more cases had active bleeding. 2. The male in painless upper gastrointestinal hemorrhage was more than female. There were 12.58% in male and 11.29% in female, P〉0. 05. 3. There were 8.33% in young group, 10. 11% in middle age group and 20. 12% in elderly group, P〈0. 05. 4. There were 15.62% UGH patients in rural and 6. 19% in urban areas, P〈0. 05. Conclusions The main cause of painless upper gastrointestinal hemorrhage is peptic ulcer. And its relevant factors are causes, sex, age and urban and rural differences.