摘要
目的:研究胶囊内镜(CE)检查阴性结果的不明原因消化道出血(OGIB)患者再出血相关危险因素。方法:回顾分析92例在院接受CE检查结果为阴性的OGIB患者,根据再出血情况将CE检查阴性的再出血患者分为观察组;未再出血的患者分为对照组,每组46例。分别对比两组患者病历资料,并作Logistic回归分析。结果:观察组年龄≥50岁以及血凝检查异常人数占比均显著高于对照组,两组比较差异有统计学意义(x^2=5.386,x^2=14.331;P<0.05);观察组服用阿司匹林人数显著高于对照组,而经特异性治疗人数占比显著低于对照组,两组比较差异有统计学意义(x^2=7.180,x^2=23.545;P<0.01)。经多因素Logistic回归分析,年龄≥50岁、血凝检查异常、服用阿司匹林以及未经特异性治疗均是CE阴性患者再出血的独立危险因素。结论:CE检查阴性结果的OGIB患者有再出血情况发生,且年龄≥50岁、血凝检查异常、服用阿司匹林以及未经特异性治疗均是影响再出血的危险因素,应予以重视。
Objective：To study the relative risk factor of bleeding again of patients with obscure gastrointestinal bleeding （OGIB） of negative result in capsule endoscopy（CE）. Methods： 92 patients with OGIB whose extermination results of CE were negative were enrolled in the retrospective analysis, and they were divided into observation group（46 cases, with bleeding again） and control group（46 cases, without bleeding again）. The data of case history of these patients were compared, respectively, and then these data were analyzed by using Logistic regression analysis.Results： The ratio of 50 years old or older than 50 years old and the number of abnormal blood coagulation of observation group were significantly higher than that of control group（x2=5.386,x2=14.331,P〈0.05）, respectively. And the number of taking Aspirin of observation group was significantly higher than that of control group, while the number of received special treatment of observation group was lower than that of control group（x2=7.180, x2=23.545,P〈0.01）. As the results of Logistic regression analysis, 50 years old or older than 50 years old, abnormal blood coagulation, taking Aspirin and non-receiving special treatment were the independent risk factors, respectively, for patients with negative results of CE.Conclusion： In the examination of CE, although the results of patients with OGIB were negative, they may blood again, and all of these factors including 50 years old or older than 50 years old, abnormal blood coagulation, taking Aspirin and non-receiving special treatment are the risk factors which can affect blooding again. These factors should be paid more attention.
出处
《中国医学装备》
2017年第9期106-108,共3页
China Medical Equipment
基金
陕西省卫生厅科研基金项目(2010H22)"13C-辛酸呼气试验测消化性溃疡胃固体排空功能临床研究"
关键词
胶囊内镜
不明原因消化道出血
再出血
危险因素
Capsule endoscopy
Obscure gastrointestinal bleeding
Bleeding again
Risk factor
