消化性溃疡再出血82例发病诱因分析

    Risk factors for recurrent peptic ulcer hemorrhage: An analysis of 82 cases

    • 摘要: 目的: 分析消化性溃疡再出血的发病因素。方法: 统计患者的性别、年龄、溃疡大小、出血量、幽门螺杆菌(Hp)感染、腹痛、治疗情况、基础疾病、服非甾体类抗炎药(NSAID)史、营养状况、饮食习惯、劳动强度及夜间休息等临床资料,分析消化性溃疡再出血的发病因素。结果: 82例中十二指肠溃疡发生率为70.73%,胃溃疡为26.83%,<50岁青壮年为78.05%,无基本治疗87.80%,Hp阳性86.59%,夜间休息差78.05%,男性76.83%,女性23.17%,饮食习惯不良76.83%,劳累73.17%,营养不良56.10%。结论: 无基本治疗、Hp感染、年龄<50岁、夜间休息差、不良饮食习惯、劳累及营养不良是消化性溃疡再出血的主要诱发因素。

       

      Abstract: Objective: To analyze the risk factors for recurrent peptic ulcers bleeding.Methods: The clinical data such as sex,age,size of ulcer,volume of blooding,H.pylori infection,stomachache,presence of concomitant diseases,history of treatment(NSAID),nutritional status,eating habit,labor intensity,sleep,etc were collected in 84 peptic ulcer patients combined with hemorrhage.Results: The occurrence of hemorrhage was observed in 70.73% of the patients,gastric ulcer in 26.83%,patients with age under 50 years in 78.05%,initial treatment in 87.80%,H.pylori infection in 86.59% and wakefulness in 78.05%.The male accounted for 76.83% and the female 23.17%.The other important risk factors were eating habit,exertion and undernutrition.Conclusions: We suggest that lack of treatment,H.pylori infection,age<50,wakefulness,eating habit,labor intensity,undernutrition are the risk factors for recurrent peptic ulcer hemorrhage.

       

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