现代医药卫生
現代醫藥衛生
현대의약위생
Journal of Modern Medicine & Health
2015年
22期
3390-3392
,共3页
肝硬化/病因学%肝硬化,胆汁性%肝硬化,酒精性%肝炎,乙型
肝硬化/病因學%肝硬化,膽汁性%肝硬化,酒精性%肝炎,乙型
간경화/병인학%간경화,담즙성%간경화,주정성%간염,을형
Liver cirrhosis/etiology%Liver cirrhosis%biliary%Liver cirrhosis%alcoholic%Hepatitis B
目的 比较不同病因肝硬化的临床特征.方法 选择该院2011年2月至2015年2月收治的肝硬化患者390例,其中乙型肝炎(乙肝)后肝硬化患者130例,酒精性肝硬化患者130例及原发性胆汁性肝硬化患者130例.对比三组患者一般资料、临床表现情况.结果 乙肝后肝硬化组患者男性占多数[65.38%(85/130)],而酒精性肝硬化组全部为男性;且两组患者平均年龄比较,差异无统计学意义(P>0.05).原发性胆汁性肝硬化组女性患者占多数[79.23%(103/130)],且平均年龄显著高于乙肝后肝硬化组和酒精性肝硬化组,差异有统计学意义(P<0.05).乙肝后肝硬化组患者农民和工人占多数 [26.92%(35/130)、28.46%(37/130)], 酒精性肝硬化组干部和商人比例较高 [34.62%(45/130)、44.62%(58/130)],两组职业分布比较,差异有统计学意义(P<0.05).三组患者在乏力、黄疸、皮肤瘙痒、腹痛、肝掌、呕血、黑便及精神症状等方面比较,差异均有统计学意义(P<0.05).结论 不同病因肝硬化患者性别、年龄、职业分布、症状表现均不同,临床应注意相应的治疗侧重点,提高临床疗效.
目的 比較不同病因肝硬化的臨床特徵.方法 選擇該院2011年2月至2015年2月收治的肝硬化患者390例,其中乙型肝炎(乙肝)後肝硬化患者130例,酒精性肝硬化患者130例及原髮性膽汁性肝硬化患者130例.對比三組患者一般資料、臨床錶現情況.結果 乙肝後肝硬化組患者男性佔多數[65.38%(85/130)],而酒精性肝硬化組全部為男性;且兩組患者平均年齡比較,差異無統計學意義(P>0.05).原髮性膽汁性肝硬化組女性患者佔多數[79.23%(103/130)],且平均年齡顯著高于乙肝後肝硬化組和酒精性肝硬化組,差異有統計學意義(P<0.05).乙肝後肝硬化組患者農民和工人佔多數 [26.92%(35/130)、28.46%(37/130)], 酒精性肝硬化組榦部和商人比例較高 [34.62%(45/130)、44.62%(58/130)],兩組職業分佈比較,差異有統計學意義(P<0.05).三組患者在乏力、黃疸、皮膚瘙癢、腹痛、肝掌、嘔血、黑便及精神癥狀等方麵比較,差異均有統計學意義(P<0.05).結論 不同病因肝硬化患者性彆、年齡、職業分佈、癥狀錶現均不同,臨床應註意相應的治療側重點,提高臨床療效.
목적 비교불동병인간경화적림상특정.방법 선택해원2011년2월지2015년2월수치적간경화환자390례,기중을형간염(을간)후간경화환자130례,주정성간경화환자130례급원발성담즙성간경화환자130례.대비삼조환자일반자료、림상표현정황.결과 을간후간경화조환자남성점다수[65.38%(85/130)],이주정성간경화조전부위남성;차량조환자평균년령비교,차이무통계학의의(P>0.05).원발성담즙성간경화조녀성환자점다수[79.23%(103/130)],차평균년령현저고우을간후간경화조화주정성간경화조,차이유통계학의의(P<0.05).을간후간경화조환자농민화공인점다수 [26.92%(35/130)、28.46%(37/130)], 주정성간경화조간부화상인비례교고 [34.62%(45/130)、44.62%(58/130)],량조직업분포비교,차이유통계학의의(P<0.05).삼조환자재핍력、황달、피부소양、복통、간장、구혈、흑편급정신증상등방면비교,차이균유통계학의의(P<0.05).결론 불동병인간경화환자성별、년령、직업분포、증상표현균불동,림상응주의상응적치료측중점,제고림상료효.
Objective To compare the clinical characteristics of different etiologies of liver cirrhosis. Methods 390 cas-es of liver cirrhosis treated in our hospital from February 2011 to February 2015 were selected ,including 130 cases of post-hepatitis B cirrhosis,130 cases of alcoholic cirrhosis and 130 cases of primary biliary cirrhosis. The general information and clinical manifes-tations situation were compared among 3 groups. Results Males were the majority of the patients in the post-hepatitis B cirrhosis group[65.38%(85/130)],while all the patients in the alcoholic cirrhosis group were male. The mean age had no statistical difference between these two groups(P>0.05);the female patients accounted for the majority of the primary biliary cirrhosis group[79.23%(103/130)],moreover their average age was significantly higher than that in the post-hepatitis B cirrhosis group and the alcoholic cirrhosis group,the difference was statistically significant(P<0.05). The peasants and workers accounted for the majority of the post-hepatitis B cirrhosis group[26.92%(35/130),28.46%(37/130)],while the cadres and businessmen had the higher proportion in the alcoholic cirrhosis group[34.62%(45/130),44.62%(58/130)],the difference in the occupational distribution between these two groups was statistically significant(P<0.05). The three groups had statistical differences in the aspects of hypodynamia,jaundice, skin itch,abdominal pain,liver palm,hematemesis,melena and psychiatric symptoms(P<0.05). Conclusion The patients with different etiologies of liver cirrhosis have differences in the aspects of gender,age,occupational distribution and symptom manifesta-tions,therefore clinic should pay attention to the corresponding treatment emphasis for increasing the clinical efficacy.
