Analysis of the influencing factors of recurrence of non-variceal upper gastrointestinal bleeding after endoscopic treatment
10.3760/cma.j.cn121382-20210419-00508
- VernacularTitle:非静脉曲张性上消化道出血患者在消化内镜治疗后复发的影响因素分析
- Author:
Wen SUN
1
;
Quanjun DENG
Author Information
1. 中国人民武装警察部队特色医学中心消化内科，天津 300162
- Keywords:
Non-varices upper gastrointestinal bleeding;
Rebleeding;
Recurrence;
Digestive endoscopy;
Risk factors
- From:
International Journal of Biomedical Engineering
2021;44(5):379-382,387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the factors affecting the recurrence of patients with non-varices upper gastrointestinal bleeding (NVUGIB) after receiving digestive endoscopy.Methods:The clinical data of 120 patients with NVUGIB who received digestive endoscopy were retrospectively analyzed. The patients were divided into recurrence group and non-recurrence group according to their recurrence status, and the risk factors affecting recurrence were analyzed.Results:The results of univariate analysis showed that there was no significant difference in age, gender and body mass index between the relapsed group and the non-relapsed group (all P>0.05), and there was significant difference in Forrest grade, hemoglobin concentration, platelet count, peptic ulcer, shock, improper diet, premature getting out of bed, constipation and subsequent proton pump inhibitors (all P<0.05). The results of multivariate logistic regression analysis showed that the Forrest grade(Ⅰa), hemoglobin level (<100 g/L), platelet count (<100×10 9/L), peptic ulcer, shock, improper diet, premature getting out of bed, constipation and subsequent proton pump inhibitorsare the risk factors of recurrence in patients with NVUGIB (all P<0.05). Conclusions:Clinically, targeted preventive measures should be taken based on the risk factors that affect the recurrence of patients with NVUGIB after digestive endoscopic treatment.
