影响创伤后应激性溃疡出血的因素

目的:探讨影响创伤（含手术）后应激性溃疡出血的因素。方法:回顾性分析近5年来收治的1 986例创伤和手术后患者的临床资料，将其中发生应激性溃疡出血病例与未发生病例对比分析。结果:创伤严重者应激性溃疡出血发生率明显高于创伤较轻者(P＜0.01），合并糖尿病、心肺病及年龄≥60岁患者应激性溃疡出血发生率明显高于无糖尿病、心肺病及年龄＜60岁者(P＜0.05）。结论:创伤后应激性溃疡出血的发生，决定于创伤程度、伤者年龄、基础疾病及救治情况等综合因素。

Factors of influence in post-traumatic stress ulcer bleeding

Abstract:Objective:To investigate the factors of influence in post-traumatic stress bleeding.Methods :The clinical data of 1986 trauma patients and postoperative patients in recent 5 years were studied retrospectively, and cases with or without stress ulcer bleeding were comparatively analyzed. Results:The incidence of stress ulcer bleeding in cases with serious injury was significantly higher than in those with mild injury (P＜0.01).The incidence of stress ulcer bleeding in patients with diabetes, heart and lung disease, and patients ≥60 years old was significantly higher than those without diabetes, heart and lung disease, and patients ≤60 years old (P＜0.05）.Conclusions:The post-traumatic stress ulcer bleeding is determined by combined factors including injury severity(ISS), patients′ age, underlying diseases and treatment methods.