内镜下结直肠息肉摘除术后急诊出血相关危险因素分析  

The investigation of risk factors of post-polypectomy emergency hemorrhage

作　　者：章亚娣 潘文胜[1] 沈虹[2] 张顽军[1] 武良琴[1] 胡雯[1] 朱一苗[1] 徐翔[3] 

机构地区：[1]浙江大学医学院附属第二医院消化内科,杭州310009 [2]浙江大学医学院附属第二医院肿瘤内科,杭州310009 [3]浙江大学医学院附属第二医院药剂科,杭州310009 [4]小营社区卫生服务中心,杭州310009

出　　处：《中华急诊医学杂志》2012年第1期74-78,共5页Chinese Journal of Emergency Medicine

基　　金：公益性行业科研专项经费（200802112）;浙江省卫生厅资助项目（2007A093,2008A094）;中医药管理局资助项目（2007ZA019）;浙江省自然科学基金（Y2080001）;浙江省科技厅重大科技专项重大与高发疾病防治技术（2009C03012-5）

摘　　要：目的探讨结直肠息肉经内镜下摘除后并发急诊出血的危险因素及处理措施。方法对2004年11月至2009年11月行内镜下结直肠息肉摘除术的313例患者的临床资料进行回顾性分析。采用SPSS16软件进行二元Logistic回归分析。结果313例结直肠息肉患者行内镜下息肉摘除术，共摘除息肉373颗。其中11例急诊出血，出血率为3．5％。回归分析结果显示内镜下结直肠息肉摘除后急诊出血的独立危险因素是高血压（P〈0．01），而与患者的性别、年龄、息肉大小、息肉形态、病理类型和摘除方式无关（P〉0．05）。结论高血压是结直肠息肉摘除后出血的独立危险因素。Objective To explore the risk factors in postpolypectomy hemorrhage in rectum and to discuss the appropriate interventions. Methods A total of 313 patients with 373 polypi were included in this study . The clinical data were analyzed by SPSS 16 software. Results There were 313 patients with colorectal polypus curatively resected and 373 polypi in total. There were 11 （3.5%） patients subjected to postpolypectomy hemorrhage in rectum. Regression analysis showed that the independent risk factor of post polypeetomy hemorrhage in rectum was the hypertension of patients （P 〈 0. 01 ） and this hemorrhage had no significant correlations with patientg6nder, age, size of polypus, pathological characteristics and the methods of polypectomy. Conclusions Hypertension of patients is an independent risk factor in postpolypectomy hemorrhage.

关 键 词：结直肠息肉 内镜下息肉摘除 急诊出血 

分 类 号：R735.3[医药卫生—肿瘤]