国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
5期
636-638
,共3页
肝硬化%腹膜炎%危险因素
肝硬化%腹膜炎%危險因素
간경화%복막염%위험인소
Liver cirrhosis%Peritonitis%Risk factors
目的 探讨肝硬化并发自发细菌性腹膜炎(SBP)的危险因素.方法 将我院收治的350例肝硬化患者分为SBP组和非SBP组,分别含145例和205例.入院治疗后收集数据并统计对比两组患者的年龄、性别、病程、既往SBP史与糖尿病史、上消化道出血、腹水总蛋白、腹水时间、血小板、C-反应蛋白、血清总胆红素、重要生化及凝血指标等因素.结果 经统计学检验,两组患者在腹水总蛋白、既往SBP史(38vs.12)、血清总胆红素[(45.2±16.1)μmol/Lvs.(33.6±11.5)μmol/L]、消化道出血(56vs.31)、糖尿病史、腹水时间等方面差异有显著性(P<0.05).结论 腹水总蛋白等因素与肝硬化并发腹膜炎有很高的相关性,临床上应重视,做好防治工作.
目的 探討肝硬化併髮自髮細菌性腹膜炎(SBP)的危險因素.方法 將我院收治的350例肝硬化患者分為SBP組和非SBP組,分彆含145例和205例.入院治療後收集數據併統計對比兩組患者的年齡、性彆、病程、既往SBP史與糖尿病史、上消化道齣血、腹水總蛋白、腹水時間、血小闆、C-反應蛋白、血清總膽紅素、重要生化及凝血指標等因素.結果 經統計學檢驗,兩組患者在腹水總蛋白、既往SBP史(38vs.12)、血清總膽紅素[(45.2±16.1)μmol/Lvs.(33.6±11.5)μmol/L]、消化道齣血(56vs.31)、糖尿病史、腹水時間等方麵差異有顯著性(P<0.05).結論 腹水總蛋白等因素與肝硬化併髮腹膜炎有很高的相關性,臨床上應重視,做好防治工作.
목적 탐토간경화병발자발세균성복막염(SBP)적위험인소.방법 장아원수치적350례간경화환자분위SBP조화비SBP조,분별함145례화205례.입원치료후수집수거병통계대비량조환자적년령、성별、병정、기왕SBP사여당뇨병사、상소화도출혈、복수총단백、복수시간、혈소판、C-반응단백、혈청총담홍소、중요생화급응혈지표등인소.결과 경통계학검험,량조환자재복수총단백、기왕SBP사(38vs.12)、혈청총담홍소[(45.2±16.1)μmol/Lvs.(33.6±11.5)μmol/L]、소화도출혈(56vs.31)、당뇨병사、복수시간등방면차이유현저성(P<0.05).결론 복수총단백등인소여간경화병발복막염유흔고적상관성,림상상응중시,주호방치공작.
Objective To explore the risk factors of liver cirrhosis complicated with spontaneous bacterial peritonitis ( SBP ).Methods 350 patients with liver cirrhosis were divided into SBP group ( 145 patients ) and non-SBP group ( 205 patients ).The age,sex,course of disease,history of SBP and diabetes,upper gastrointestinal bleeding,ascitic fluid total protein,time to occurrence of ascites,and levels of platelet,C-reactive protein,and serum total bilirubin were compared between the two groups.Results There were significant differences between the two groups in level of ascitic fluid total protein,history of SBP and diabetes,serum total bilirubin,gastrointestinal bleeding,and time to occurrence of ascites ( P < 0.05 ).Conclusions Ascitic fluid total protein and other factors are closely associated with liver cirrhosis complicated with peritonitis,to which should be paid more attention.Prevention and treatment should be administered correctly.