Analysis Of The Risk Factors For Esophageal-gastric Varices In Cirrhosis Early Re-bleeding

Objective Through the310cases of liver cirrhosis patients who underwentendoscopy were included in the present retrospective study, to provide a referencefor clinical work. The objective of the study was to derive the noninvasive clinicalprediction rule that is able to identify cirrhosis patients with esophageal varices.Methods The clinical data of310cases of liver cirrhosis patients whounderwent endoscopy were included in the present retrospective study. FromGeneral Hospital of Ningxia Medical University which was enrolled fromJanuary,2009to December,2012in this study. According to six weeks whetherrebleeding into observation group and the control group. We analyze the clinicaldata, with SPSS17.0to identify independent risk factors. P values less than0.05were considered statistically significant.Results Esophageal varices rebleeding were found in34of the310patients(10.9%),276cases no further bleeding patients in the control group. Thetwo groups in the degree of varicose veins, Child-Pugh grade, Na+, albumin,spleen thickness, severe ascites, severe varicose veins of difference wasstatistically significant. Using multivariate logistic regression, Child-Pugh gradeC, Na+, albumin, spleen thickness, severe ascites, severe varicose veins as theindependent variables had the best fit.Conclusion1. Child-Pugh, Na+, albumin, spleen thickness, severe ascites, severe varicose veins as the independent variables risk factor for early rebleeding.2. EGVB patients with Child-Pugh grade C and severe ascites are moresusceptible to early rebleeding.