Copyright
©The Author(s) 2021.
世界华人消化杂志. 2021-09-28; 29(18): 1077-1083
在线出版 2021-09-28. doi: 10.11569/wcjd.v29.i18.1077
在线出版 2021-09-28. doi: 10.11569/wcjd.v29.i18.1077
临床资料 | 再出血组(n = 31) | 未再出血组(n = 211) | χ2/t | P |
年龄(岁) | 75.92±3.34 | 65.03±2.01 | 25.500 | <0.001 |
性别 | 0.034 | 0.855 | ||
男 | 17 (54.84) | 112 (53.08) | ||
女 | 14 (45.16) | 99 (46.92) | ||
抗血小板药物使用时间(个月) | 34.572 | <0.001 | ||
<3 | 19 (61.29) | 32 (15.17) | ||
≥3 | 12 (38.71) | 179 (84.83) | ||
既往史 | ||||
饮酒史 | 8 (25.81) | 44 (20.85) | 0.393 | 0.531 |
吸烟史 | 11 (35.48) | 55 (26.07) | 1.208 | 0.272 |
溃疡史 | 12 (38.71) | 16 (7.58) | 22.643 | <0.001 |
高血压史 | 10 (32.26) | 53 (25.12) | 0.716 | 0.398 |
消化道恶性肿瘤史 | 4 (12.90) | 8 (3.79) | 4.762 | 0.030 |
Hp阳性 | 13 (41.94) | 18 (8.53) | 24.096 | <0.001 |
入院临床表现 | ||||
呕血 | 15 (48.39) | 42 (19.91) | 12.177 | <0.001 |
休克 | 10 (32.26) | 16 (7.58) | 14.685 | <0.001 |
输血量(mL) | 16.206 | <0.001 | ||
<1000 | 15 (48.39) | 171 (81.04) | ||
≥1000 | 16 (51.61) | 40 (18.96) | ||
Hb (g/L) | 86.81±10.13 | 101.05±10.25 | 7.233 | <0.001 |
ALB (g/L) | 27.88±3.35 | 33.65±5.11 | 6.092 | <0.001 |
ANC (%) | 75.98±4.54 | 68.89±5.67 | 6.652 | <0.001 |
BUN (mmol/L) | 11.82±2.21 | 9.43±1.05 | 9.900 | <0.001 |
PLT (×109/L) | 165.93±15.51 | 195.88±17.12 | 9.198 | <0.001 |
PT(s) | 14.58±1.22 | 13.96±2.16 | 1.560 | 0.120 |
APTT(s) | 40.05±4.17 | 38.64±3.69 | 1.953 | 0.052 |
溃疡位置 | 0.099 | 0.952 | ||
胃溃疡 | 13 (41.94) | 88 (41.71) | ||
十二指肠球部溃疡 | 16 (51.61) | 106 (50.24) | ||
复合型溃疡 | 2 (6.45) | 17 (8.05) | ||
溃疡大小 | 5.101 | 0.024 | ||
>20 mm | 19 (61.29) | 84 (39.81) | ||
≤20 mm | 12 (38.71) | 127 (60.19) | ||
Forrest分级 | 2.674 | 0.008 | ||
Ⅰa | 6 (19.35) | 14 (6.64) | ||
Ⅰb | 10 (32.26) | 42 (19.91) | ||
Ⅱa | 8 (25.81) | 70 (33.17) | ||
Ⅱb | 7 (22.58) | 85 (40.28) |
引文著录: 伍燕侠, 李朋. 介入栓塞术治疗抗血小板药物致老年消化道溃疡大出血的单中心研究及患者预后影响因素Logistic回归方程分析. 世界华人消化杂志 2021; 29(18): 1077-1083