肝硬化门静脉高压性胃病临床分析

Clinical analysis of portal hypertension in cirrhotic patients with portal hypertension

目的 分析肝硬化门静脉高压性胃病临床现象,研究患者在治疗时的效果.方法 选取自2015 年1 月至2016 年1 月在本院进行肝硬化治疗的患者91 例,对所有患者的资料进行回顾性分析.分析肝硬化患者的门静脉高压性胃病发病概率,以及把患者的肝功能分为三个等级（A 级、B 级、C 级）,探讨其等级与门静脉高压性胃病发病的关系,同时了解肝硬化门静脉高压性胃病与食管静脉曲张的关系.结果 91 例患者中有41 例患者有门静脉高压性胃病,肝硬化患者的门静脉高压性胃病发病率为45.05%,患者的肝功能A 级、B 级、C 级的门静脉高压性胃病发病概率分别为：15.79%、50.00%、60.00%.食管静脉曲张分为四个等级：无、轻度、中度、重度,每一级的肝硬化门静脉高压性胃病发病概率分别为：38.89%、57.14%、61.90%、76.47%.结论 肝功能与食管静脉曲张损害程度和肝硬化门静脉高压性胃病的发病率有很大的关系,而且都是呈正向关系.所以,在对患者进行治疗时,应该首先进行胃镜以及肝功能的检查,根据最后的检查结果再采取相应的措施,从而达到提升治疗的效果和减轻病患的痛苦的目的.

Objective To i nvestigate t he clinical p henomenon of p ortal h ypertensive g astropathy i n c irrhosis a nd t heclinical effect of all patients. Methods A total of 91 patients with cirrhosis were retrospectively analyzed in our study fromJanuary 2015 to January 2016. The incidence of portal hypertensive gastropathy in patients with cirrhosis was investigated.The patient’s liver function was divided into three grades （A, B, C）. The correlation between the grade and the incidence ofportal hypertension was investigated. The relationship between portal hypertension and esophageal varices was researched.Results There were 41 patients with portal hypertension among 91 patients. The incidence of portal hypertensive gastropathywas 45.05%. The incidence of portal hypertension in patients with grade A, B and C were 15.79%, 50.00% and 60.00%,respectively. Esophageal varices were divided into four grades： none, mild, moderate, severe. Each stage of cirrhosis portalhypertension incidence of gastric disease was 38.89%, 57.14%, 61.90%, 76.47%. Conclusion T here i s p ositive c orrelationbetween cirrhosis of the portal hypertension and liver function, degree of esophageal varices. For these patients, endoscopyand liver function test should be the first choice, followed by appropriate treatments according with the inspection results.Finally, the efficacy may be improved and the suffering may be reduced.