摘要
目的探讨肝硬化腹水合并自发性细菌性腹膜炎(SBP)的相关危险因素,为早期防治SBP提供依据。方法回顾性收集200例肝硬化腹水患者资料,依据是否发生SBP将肝硬化患者分为病例组(n=57)和对照组(n=143),采用单因素和多因素分析影响肝硬化合并SBP的相关危险因素。结果肝硬化合并SBP的发生率为28.5%(57/200);多因素logistic回归分析结果显示消化道出血(OR=1.813)、腹泻(OR=2.181)、血清TBIL(OR=2.125)、腹水白蛋白(OR=2.881)、Child-pugh分级(OR=2.300)。结论肝硬化合并自发性细菌性腹膜炎的发病率较高,而且影响其发病的因素较多,其中消化道出血、腹泻、血清高胆红素、腹水低白蛋白、Child-pugh分级高是发生SBP的独立危险因素。
Objective To explore correlated risk factors of liver cin＇hosis ascites with spontaneous bacterial peritonitis （SBP）, then to provide basis for prevention and treatment of SBP patients. Methods Retrospectively we collected data of 200 patients with liver cirrhosis ascites, and according to the incidence of SBP, these cases were divided into the case group （ n = 57 ） and the control group （n = 143 ）. Then single factor and multiple factor analysis methods were used to analyze the risk factors of liver cirrhosis ascites with SBP. Results The incidence rate of liver cirrhosis ascites with SBP was 28.5% （57/200）. Multiple factors analysis result showed that the risk factors of SBP included alimentary tract hemorrhage （ OR = 1.813 ） , diarrhea （ OR = 2. 181 ）, serum TBIL （ OR = 2. 125 ）, albumin of ascites （ OR = 2. 881 ） and Child-pugh grades （ OR = 2. 300 ）. Conclusion The incidence rate of liver cirrhosis ascites with SBP lies was high. Many risk factors affected its ineidence, such as alimentary tract hemorrhage, diarrhea, high serum bilirubin, low level albumin of ascites and high grade of Child-pugh.
出处
《中国医院统计》
2017年第2期102-104,共3页
Chinese Journal of Hospital Statistics
关键词
肝硬化
腹水
自发性细菌性腹膜炎
危险因素
cirrhosis of liver
ascites
spontaneous bacterial peritonitis
risk factor
