鼻出血发病的相关因素分析  

Analysis of relevant factors in intractable epistaxis

作　　者：钟振华[1] 程泽星[1] 庄远岭[1] 练状[1] 

机构地区：[1]扬州市第一人民医院耳鼻咽喉科,江苏扬州225001

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第5期402-405,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨出血发病的临床相关因素。方法收集我科2009年1月~2013年12月住院的253例鼻出血患者,采用二分类Logistic（Forward：Conditional）法分析并记录患者的性别、年龄、发病时间、有无高血压、饮酒史,变应性鼻炎史、服用抗凝药物史及鼻中隔偏曲。结果鼻出血患者的季节分布中,春季67例（26.5%）,夏季54例（21.3%）,秋季40例（15.8%）,冬季92例（36.4%）。Logistic回归分析结果显示女性患鼻出血的风险是男性0.42倍,而年龄中,年龄增长与鼻出血的风险呈正相关。有高血压者患鼻出血的危险是无高血压的14.455倍;有饮酒史者患鼻出血的危险是无饮酒史的3.377倍;有变应性鼻炎史者患鼻出血的危险是无变应性鼻炎的38.213倍;服用抗凝药物者患鼻出血的危险是无服用抗凝药物的3.745倍。结论鼻出血冬季发病率高于其他季节。男性、高龄、饮酒、高血压、服用抗凝药物及有变应性鼻炎史是鼻出血发病的重要危险因素。Objective To study related risk factors in intractable epistaxis. Methods Clinical data of 253 patients with epistaxis and 252 patients without epistaxis hospitalized in our department from Jan 2009 to Dec 2013 were analyzed retrospectively. Clinical data including patients ＇ gender,age,time of onset,hypertension,drinking history,allergic rhinitis,anticoagulant agent use and deviated nasal septum were recorded and analyzed by logistic regression analysis.Results Season distribution of patients with epistaxis showed 67 cases（ 26. 5%） were hospitalized in spring,54（ 21. 3%） in summer,40（ 15. 8%） in autumn,and 92（ 36. 4%） in winter. Logistic regression analysis indicated that women had about 0. 48 times the risk of epistaxis as men,and prevalence of epistaxis was positively associated with patients＇ age. History of hypertension,drinking,allergic rhinitis,anticoagulant agent use were all positively associated with prevalence of epistaxis. The patients with above-mentioned history had about 14. 455,3. 377,38. 213,and 3. 745 times the risk of epistaxis as those without the history. Conclusions The incidence of epistaxis in winter is higher than those in the other seasons. Male,advanced age,drinking,hypertension,allergic rhinitis,anticoagulant agent use are the risk factors in intractable epistaxis.

关 键 词：难治性鼻出血 危险因素 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]