| Objective:To analysis of the risk factors for early rebleeding of esophageal varices(EV)with hospitalized liver cirrhosis patients.Methods:The clinical data of patients with liver cirrhosis complicated with esophageal varices bleeding(EVB)were analyzed retrospectively from March 2012 to December 2017 in our hospital.The index of risk included Child-Pugh classification,esophagogastric varicose grading,average arterial pressure,endoscopic sclerotherapy times and laboratory examination.The patients were divided into the rebleeding group occurred within 72 hours to 6 weeks and non-rebleeding group within 6 weeks.We analyzed the clinical data with SPSS19.0.Continuous data were compared by t or u test between two groups,expressed as mean ± standard deviation.Non-hierarchical categorical data were compared between two groups using the χ2 test.Hierarchical categorical data were compared between two groups using the Mann-Whitney U test.Risk factors were analyzed by two-class unconditional Logistic regression model.Results:Early esophagogastric variceal rebleeding occurred in 28(25.45%)of the 110 patients,and that no rebleeding cases were found in 82(74.55%).There were significant difference statistically as factor on average arterial pressure,prealbumin levels,Child-Pugh classification,Child-Pugh scores and endoscopic sclerotherapy times between the two groups.Using two-class unconditional logistic regression,average arterial pressure and endoscopic sclerotherapy times were significant as a risk factor for early rebleeding of EV,its OR is 1.135(p<0.05)and 0.502(p<0.05)respectively.Conclusion:1.There are significant difference statistically on average arterial pressure,prealbumin levels and Child-Pugh scores between early rebleeding and no-rebleeding group of EV with liver cirrhosis.2.It is a risk factors for early rebleeding within 6 weeks that sclerotherapy performed by 1-2 times is insufficient,and so is higher average arterial pressure. |
PDF Full Text Request