消化内镜治疗上消化道出血后再出血的危险因素分析

目的 分析消化内镜治疗上消化道出血后再出血的危险因素.方法 选取2018年1月～2019年12月经消化内镜治疗的上消化道出血患者128例,根据术后是否再出血,将患者分为再出血组与未再出血组,各64例.回顾性收集两组患者的临床资料,分析患者发生再出血的危险因素.结果 两组患者性别、性别以及年龄方面比较差异无统计学意义(P...

Analysis of risk factors for rebleeding after digestive endoscopy for upper gastrointestinal bleeding

Objective To analyze the risk factors of rebleeding after digestive endoscopy for upper gastrointestinal bleeding.Methods 128 patients with upper gastrointestinal hemorrhage treated by gastrointestinal endoscopy in our hospital were selected from January 2018 to December 2019,and the patients were divided into rebleeding group and non-rebleeding group according to whether they rebleed after operation.The clinical data of two groups of patients were collected retrospectively,and the risk factors of rebleeding were analyzed.Results There was no significant difference in gender,gender and age between the two groups of patients(P>0.05).There was a significant difference in the bleeding volume,platelet,blood urea nitrogen,hemoglobin level,active bleeding,and number of shock cases between the bleeding group and the non-bleeding group(P<0.05).Multivariate logistics regression analysis showed that:hemoglobin,platelets,shock,active bleeding under endoscopy were risk factors for rebleeding after upper gastrointestinal bleeding after gastrointestinal treatment.Conclusion Hemoglobin,platelets,shock,and active bleeding under endoscopy are risk factors for rebleeding after digestive endoscopy.It is necessary to strengthen targeted preventive measures to avoid rebleeding.