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肝硬化并发自发性细菌性腹膜炎发病危险因素分析
引用本文:何伟锋,李斌,黄文峰,余中贵,林占洲,许岸高. 肝硬化并发自发性细菌性腹膜炎发病危险因素分析[J]. 现代诊断与治疗, 2013, 24(6): 1212-1214
作者姓名:何伟锋  李斌  黄文峰  余中贵  林占洲  许岸高
作者单位:何伟锋 (惠州市第一人民医院,广东惠州,516000); 李斌 (东莞市厚街镇人民医院,广东东莞,523940); 黄文峰 (惠州市第一人民医院,广东惠州,516000); 余中贵 (惠州市第一人民医院,广东惠州,516000); 林占洲 (惠州市中心人民医院,广东惠州,516000); 许岸高 (惠州市医学研究所,广东惠州,516000);
摘    要:目的探讨肝硬化并发自发性细菌性腹膜炎(SBP)的发病危险因素。方法连续收集2008年1月~2010年12月在惠州市中心人民医院及惠州市第一人民医院住院确诊为肝硬化合并SBP的206例病例资料。对可能影响肝硬化患者发生SBP的危险因素进行单因素分析,将有意义的因素纳入Logistic回归模型进行多因素分析。结果 MELD评分,脾脏厚度和腹水总蛋白最终进入了Logistic回归方程,OR分别为4.703、3.864、7.108。结论 MELD评分、脾脏厚度、腹水总蛋白可能为SBP发生的独立危险因素。

关 键 词:肝硬化  自发性细菌性腹膜炎  危险因素

Analysis of Risk Factors in Cirrhotic Patients with Spontaneous Bacterial Peritonitis
Abstract:Objective To investigate the risk factors of SBP in cirrhotic patients.Methods 206 cases come from the patients who diagnosed as liver cirrhosis with SBP in Huizhou central people's hospital and Huizhou first people’s hospital in January 2008 to December 2010 were collected.Univariate analysis was used to investigate risk factors for SBP which may affected patients with cirrhosis,then the meaningful data was brought into multivariate analysis of logistic regression model.Results MELD score,spleen thickness and ascites total protein finally entered the Logistic regression equation.OR value were 4.703,3.864,7.108.Conclusions MELD score,spleen thickness and ascites total protein may be the independent risk factors of SBP.
Keywords:Liver cirrhosis  Spontaneous bacterial peritonitis  Risk factors
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