临床肝胆病杂志
臨床肝膽病雜誌
림상간담병잡지
CHINESE JOURNAL OF CLINICAL HEPATOLOGY
2014年
4期
357-359
,共3页
腹膜炎,结核性%肝硬化%腹水
腹膜炎,結覈性%肝硬化%腹水
복막염,결핵성%간경화%복수
peritonitis,tuberculous%liver cirrhosis%ascites
目的:分析肝硬化腹水并发结核性腹膜炎预警指标。方法回顾性分析2010年1月至2012年12月重庆医科大学附属第二医院62例肝硬化腹水患者的临床资料。其中肝硬化腹水并发结构性腹膜炎(TBP)患者27例(TBP组);肝硬化腹水未发生TBP患者35例(非TBP组),收集2组患者的临床情况和实验室检查结果。采用χ2检验和Mann-Whitney U检验进行单因素分析;Logistic回归多因素检验进行多因素分析。结果性别、原发性腹膜炎病史、血沉(ESR)、血清结核抗体、腹水淋巴细胞为主(≥50%)及凝血酶原活动度(PTA)等指标在2组的差异具有统计学意义(P<0.05)。原发性腹膜炎病史、PTA、ESR、腹水淋巴细胞为主(≥50%)的肝硬化腹水患者发生结核性腹膜炎的OR分别为1.933、3.205、2.716、11.701;其工作特征曲线(ROC)下面积(AUC)分别是0.831、0.815、0.775、0.935,P值均<0.05。结论既往有原发性腹膜炎病史、PTA、ESR、腹水淋巴细胞≥50%是肝硬化腹水患者发生结核性腹膜炎的预警指标;各预警指标的预测价值均较好,尤其腹水淋巴细胞为主(≥50%)预测价值最大。
目的:分析肝硬化腹水併髮結覈性腹膜炎預警指標。方法迴顧性分析2010年1月至2012年12月重慶醫科大學附屬第二醫院62例肝硬化腹水患者的臨床資料。其中肝硬化腹水併髮結構性腹膜炎(TBP)患者27例(TBP組);肝硬化腹水未髮生TBP患者35例(非TBP組),收集2組患者的臨床情況和實驗室檢查結果。採用χ2檢驗和Mann-Whitney U檢驗進行單因素分析;Logistic迴歸多因素檢驗進行多因素分析。結果性彆、原髮性腹膜炎病史、血沉(ESR)、血清結覈抗體、腹水淋巴細胞為主(≥50%)及凝血酶原活動度(PTA)等指標在2組的差異具有統計學意義(P<0.05)。原髮性腹膜炎病史、PTA、ESR、腹水淋巴細胞為主(≥50%)的肝硬化腹水患者髮生結覈性腹膜炎的OR分彆為1.933、3.205、2.716、11.701;其工作特徵麯線(ROC)下麵積(AUC)分彆是0.831、0.815、0.775、0.935,P值均<0.05。結論既往有原髮性腹膜炎病史、PTA、ESR、腹水淋巴細胞≥50%是肝硬化腹水患者髮生結覈性腹膜炎的預警指標;各預警指標的預測價值均較好,尤其腹水淋巴細胞為主(≥50%)預測價值最大。
목적:분석간경화복수병발결핵성복막염예경지표。방법회고성분석2010년1월지2012년12월중경의과대학부속제이의원62례간경화복수환자적림상자료。기중간경화복수병발결구성복막염(TBP)환자27례(TBP조);간경화복수미발생TBP환자35례(비TBP조),수집2조환자적림상정황화실험실검사결과。채용χ2검험화Mann-Whitney U검험진행단인소분석;Logistic회귀다인소검험진행다인소분석。결과성별、원발성복막염병사、혈침(ESR)、혈청결핵항체、복수림파세포위주(≥50%)급응혈매원활동도(PTA)등지표재2조적차이구유통계학의의(P<0.05)。원발성복막염병사、PTA、ESR、복수림파세포위주(≥50%)적간경화복수환자발생결핵성복막염적OR분별위1.933、3.205、2.716、11.701;기공작특정곡선(ROC)하면적(AUC)분별시0.831、0.815、0.775、0.935,P치균<0.05。결론기왕유원발성복막염병사、PTA、ESR、복수림파세포≥50%시간경화복수환자발생결핵성복막염적예경지표;각예경지표적예측개치균교호,우기복수림파세포위주(≥50%)예측개치최대。
Objective To analyze the early warning indicators of tuberculous peritonitis (TBP)in patients with cirrhotic ascites.Methods A retrospective analysis was performed on the clinical data of 62 patients with cirrhotic ascites hospitalized in the Second Affiliated Hospital of Chongqing Medical University from January 2010 to December 2012.The chi-square test and Mann-Whitney U test were used for uni-variate analysis,while the logistic regression model was used for multivariate analysis.Results There were significant differences between TBP group and non-TBP group in sex,history of primary peritonitis,erythrocyte sedimentation rate (ESR),serum tuberculosis antibody, percentage of lymphocytes in ascites (≥50%),and prothrombin activity (PTA)(P<0.05 for all).The odds ratios (ORs)of history of primary peritonitis,PTA,ESR,and percentage of lymphocytes in ascites (≥50%)for development of TBP in patients with cirrhotic ascites were 1.933,3.205,2.716,and 11.701,respectively (P<0.05 for all),and the areas under the receiver operating characteristic curve were 0.831,0.815,0.775,and 0.935,respectively (P<0.05 for all).Conclusion History of primary peritonitis,PTA,ESR,and per-centage of lymphocytes in ascites (≥50%)are the early warning indicators of TBP in patients with cirrhotic ascites;these early warning in-dicators,especially percentage of lymphocytes in ascites (≥50%),have good predictive values.