急性胃十二指肠溃疡穿孔的危险因素分析  

Analysis on Risk Factors of Acute Perforation of Gastroduodenal Ulcer

作　　者：李志旺[1] 吴祖光[1] 李恩[1] 陈楷[1] 张灼新[1] LI Zhiwang;WU Zuguang;LI En(First-author’s address:Meizhou People’s Hospital,Meizhou 514031,China)

机构地区：[1]梅州市人民医院

出　　处：《中外医学研究》2019年第16期173-176,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨急性胃十二指肠溃疡穿孔的危险因素。方法:回顾性分析2013年1月-2015年12月笔者所在医院收治的285例急性胃十二指肠溃疡穿孔患者为观察组,选取笔者所在医院同期诊治的285例胃十二指肠溃疡患者为对照组。资料分析采用单因素及多因素Logistic分析。结果:急性胃十二指肠溃疡穿孔多发生于冬春季节,以十二指肠为多见。单因素分析显示,患者性别、年龄、身体质量指数(BMI)、职业、文化程度、服用NSAIDs药物是急性胃十二指肠溃疡穿孔的危险因素(P<0.05)。多因素分析显示,患者的年龄、BMI、职业、文化程度、服用NSAIDs药物是急性胃十二指肠溃疡穿孔的独立危险因素(P<0.05)。结论:对于男性、年龄≥60岁、长期服用NSAIDs药物、文化程度及BMI指数低,并且职业为农民或无业患者,冬春季节应格外注意病情的发作,警惕穿孔的发生。Objective:To explore the risk factors of acute perforation of gastroduodenal ulcer.Method:285 cases of acute gastroduodenal ulcer perforation in our hospital from January 2013 to December 2015 were selected as observation group.285 patients with gastroduodenal ulcer were selected as control group.Data were analyzed by single factor and multifactor Logistic review.Result:Acute gastroduodenal ulcer perforation often occurs in winter and spring,with the duodenum as the most common.The single factor analysis showed that gender,age,body mass index(BMI),occupation,education level and NSAIDs might be risk factors for acute gastroduodenal ulcer perforation(P<0.05).Multi-factors analysis showed that age,BMI,occupation,education level and NSAIDs were independent risk factors for acute gastroduodenal ulcer perforation(P<0.05).Conclusion:For men,over 60 years of age,taking NSAIDs for a long time,with low education level and BMI index,and occupational status as peasants or unemployed patients,winter and spring season should pay special attention to the occurrence of gastroduodenal ulcer,be alert to the occurrence of perforation.

关 键 词：胃十二指肠溃疡 急性穿孔 危险因素 

分 类 号：R656.62[医药卫生—外科学]