河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
1期
82-85
,共4页
老年%上消化道出血%相关因素
老年%上消化道齣血%相關因素
노년%상소화도출혈%상관인소
Elderly%Upper gastrointestinal bleeding%Relevant factors
目的：研究老年上消化道出血102例相关因素分析及临床治疗效果。方法：选取本院2011年9月至2013年9月间消化内科收治的老年上消化道出血患者102例，作为观察组。另选本院同一时期收治的非老年上消化道出血患者102例，作为对照组。对两组患者病例资料进行详细分析，根据其临床症状以及各项检查结果给予止血相关治疗。对老年上消化道出血情况实施单因素分析，以及Logistic回归性分析，得出相关因素。并对比两组患者临床治疗效果以及复发率。结果：观察组患者患胃溃疡、消化道肿瘤、胃癌，以及合并患有肺部感染、其他脏器衰竭人数显著多于对照组；观察组患者临床治疗止血有效率显著低于对照组，复发率显著高于对照组，差异均有统计学意义（均P＜0．05）。根据Logistic回归性分析，导致老年上消化道出血的相关因素为胃溃疡、消化道肿瘤、胃癌、肺部感染及其他脏器衰竭。结论：老年发生上消化道出血的相关因素较多，临床治疗时应给予相应的预防措施。
目的：研究老年上消化道齣血102例相關因素分析及臨床治療效果。方法：選取本院2011年9月至2013年9月間消化內科收治的老年上消化道齣血患者102例，作為觀察組。另選本院同一時期收治的非老年上消化道齣血患者102例，作為對照組。對兩組患者病例資料進行詳細分析，根據其臨床癥狀以及各項檢查結果給予止血相關治療。對老年上消化道齣血情況實施單因素分析，以及Logistic迴歸性分析，得齣相關因素。併對比兩組患者臨床治療效果以及複髮率。結果：觀察組患者患胃潰瘍、消化道腫瘤、胃癌，以及閤併患有肺部感染、其他髒器衰竭人數顯著多于對照組；觀察組患者臨床治療止血有效率顯著低于對照組，複髮率顯著高于對照組，差異均有統計學意義（均P＜0．05）。根據Logistic迴歸性分析，導緻老年上消化道齣血的相關因素為胃潰瘍、消化道腫瘤、胃癌、肺部感染及其他髒器衰竭。結論：老年髮生上消化道齣血的相關因素較多，臨床治療時應給予相應的預防措施。
목적：연구노년상소화도출혈102례상관인소분석급림상치료효과。방법：선취본원2011년9월지2013년9월간소화내과수치적노년상소화도출혈환자102례，작위관찰조。령선본원동일시기수치적비노년상소화도출혈환자102례，작위대조조。대량조환자병례자료진행상세분석，근거기림상증상이급각항검사결과급여지혈상관치료。대노년상소화도출혈정황실시단인소분석，이급Logistic회귀성분석，득출상관인소。병대비량조환자림상치료효과이급복발솔。결과：관찰조환자환위궤양、소화도종류、위암，이급합병환유폐부감염、기타장기쇠갈인수현저다우대조조；관찰조환자림상치료지혈유효솔현저저우대조조，복발솔현저고우대조조，차이균유통계학의의（균P＜0．05）。근거Logistic회귀성분석，도치노년상소화도출혈적상관인소위위궤양、소화도종류、위암、폐부감염급기타장기쇠갈。결론：노년발생상소화도출혈적상관인소교다，림상치료시응급여상응적예방조시。
Objective:To study related factors and clinical treatment of 102 cases of elderly upper gas-trointestinal bleeding .Method:From September 2011 to September 2013 , 102 cases of elderly patients with upper gastrointestinal hemorrhage treated were as observation group .Another chose non-elderly admitted in our hospital during the same period of 102 cases of upper gastrointestinal hemorrhage patients as control group.It did data analysis of two groups of patients ’ detail, according to its clinical symptoms and all rele-vant test results which was given hemostatic treatment .For elderly upper gastrointestinal bleeding , did single factor analysis and Logistic regression analysis of related factors obtained , compared two groups of patients with clinical hemostatic effects and relapse .Result:The observation group of patients with gastric ulcer , the digestive tract tumor , stomach and combined with pulmonary infection , other organs failure number was sig-nificantly more than the control group;Observation group of patients with clinical treatment hemostatic effec-tiveness was significantly lower than the control group , the recurrence rate was significantly higher than the control group, the differences were statistically significant (all P <0.05).It based on Logistic regression a-nalysis, which leaded to the relevant factors of elderly upper gastrointestinal bleeding for gastric ulcer , the digestive tract tumor , stomach, lung infection and other organ failure .Conclusions: There's more related factors elderly upper gastrointestinal bleeding occurred , clinical treatment should be given the corresponding preventive measures .
