论文部分内容阅读
目的:探讨内镜治疗食管胃底静脉曲张患者后早期再出血的影响因素。方法:收集50例食管胃底静脉曲张内镜治疗后早期再出血患者作为观察组,另选取50例食管胃底静脉曲张内镜治疗后未再出血患者作为对照组,分析食管胃底静脉曲张内镜治疗后早期再出血的影响因素。结果:2组腹水、门静脉内径、血肌酐、血清钠、乙肝病毒检测结果等方面对比存在较大的差异(P<0.05)。其中腹水、血肌酐和乙肝病毒检测阳性是影响治疗后再出血的独立危险因素。结论:合并血肌酐升高、腹水等患者更容易发生内镜治疗早期再出血,临床应强化食管胃底静脉曲张内镜治疗后早期再出血影响因素的预防和干预,降低发生率,改善预后。
Objective: To investigate the influencing factors of early rebleeding after endoscopic treatment of patients with esophageal varices. Methods: Fifty patients with early rebleeding after esophageal and gastric varices endoscopy were selected as the observation group. Fifty patients without esophageal varices after endoscopy were selected as the control group, and the intra-esophageal varices Factors influencing the early rebleeding of the mirror after treatment. Results: There were significant differences between the two groups in ascites, portal vein diameter, serum creatinine, serum sodium and hepatitis B virus (P <0.05). Among them, ascites, serum creatinine and positive detection of hepatitis B virus are independent risk factors for rebleeding after treatment. Conclusions: Patients with elevated serum creatinine and ascites are more likely to undergo endoscopic early rebleeding. The prevention and intervention of early rebleeding after esophageal and gastric varices endoscopic therapy should be strengthened to reduce the incidence and improve the prognosis.