肝硬化门静脉高压并发上消化道出血的相关危险因素分析

Analysis of the Risk Factors of Gastrointestinal Hemorrhage Complicated with Liver Cirrhosis and Portal Hypertension

目的分析肝硬化门静脉高压并发上消化道出血的相关危险因素。方法选择本院2011年1月-2017年1月接收的肝硬化门静脉高压患者244例作为研究对象进行回顾性分析,入院时依据患者上消化道是否出血进行分组,其中出血患者142例,作为观察组,未出血患者102例,作为对照组,了解其临床资料,并进行各指标检测,分析上消化道出血的危险因素。结果经比较,两组患者性别、抗病毒治疗史、胃底静脉曲张程度、冠状静脉怒张程度、门静脉内径及脾静脉内径等均存在显著性差异,且以观察组更严重(P<0.05)。结论肝硬化门静脉高压并发上消化道出血危险因素主要为男性、胃底静脉曲张、门静脉及脾静脉内径增大等,需及时进行对应控制,预防食管静脉曲张破裂出血,保证患者安全。

Objective To analyze the risk factors of upper gastrointestinal bleeding in cirrhotic portal hypertension.Methods 244 Cases of patients with liver cirrhosis and portal hypertension in our hospital during the period from January 2011 to January 2017 as the research subjects were retrospectively analyzed,according to whether the admission of patients with upper gastrointestinal hemorrhage they were divided into two groups,the bleeding were 142 cases,as the observation group,102 cases of patients without blood,as the control group,the clinical data was analyzed,each index detection,and the risk factors of digestive everywhere were analyzed.Results By comparison,two groups of patients with gender,antiviral treatment history,gastric varices,coronary venous engorgement degree,the diameter of portal vein and splenic vein diameter were significantly different,and the observation group was more serious（P〈0.05）.Conclusion The main risk factors for male tract bleeding,gastric varices,portal vein and splenic vein diameter increased with liver cirrhosis and portal hypertension on digestion,without the corresponding control and prevention of esophageal variceal bleeding,ensure the safety of patients