肝硬化上消化道出血与时间及季节的相关性分析  

The Time and Season Relativity of Upper Gastrointestinal Bleeding in Patients with Liver Cirrhosis and Portal Hypertension

作　　者：张友祥[1] 刘锦华[1] 徐俊[1] 陈晓蓉[1] 王江蓉[1] 

机构地区：[1]上海市公共卫生中心,上海201508

出　　处：《中国中医药信息杂志》2005年第4期19-20,共2页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：目的探讨肝硬化门静脉高压患者上消化道出血与时间及季节的相关性。方法回顾性分析225例患者440次上消化道出血的时间和季节。结果1天24小时12个时间段中,19-21时为上消化道出血的第1个高峰期,23-1时为第2个高峰期,5-7时为第3个高峰期。发生在夜间的有298次,发生率为67.7%;发生在白天的有142次,发生率为32.3%,夜间出血发生率明显高于白天。冬春季的出血发生率明显高于夏秋季,两者比较有显著意义(P<0.01)。结论肝硬化患者上消化道出血的发生有明显的时间及季节相关性。Objective To study the time and season relativity of upper gastrointestinal bleeding in patients with liver cirrhosis and portal hypertension. Methods 440 bleeding times in 225 patients were studied with review analysis. Result During 24 hours in a day, the time from 5 to 7 clock was the first peak of bleeding, 23-1 clock was the secend peak and the third peak was 19-21 clock. 298 bleeding times (67.7%) were in nighttime while 142 (32.3%) were in daytime (P <0.01). The ratio of bleeding in winter and spring was higher than in summer and autumn, there was notably significance between them. Conclusion The upper gastrointestinal bleeding in patients with liver cirrhosis and portal hypertension have notably time and season relativity.

关 键 词：肝硬化 门静脉高压症 上消化道出血 时间 季节 

分 类 号：R575.2[医药卫生—消化系统]