肝硬化失代偿期并发肠梗阻患者生存质量及影响因素  

Quality of Life in Patients with Decompensated Liver Cirrhosis Complicated with Intestinal Obstruction and Its Influencing Factors

作　　者：韩双英 HAN Shuang-ying(Department of Gastroenterology,Tianjin Second People's Hospital,Tianjin 3oolo0)

机构地区：[1]天津市第二人民医院消化内科,天津300100

出　　处：《中国肛肠病杂志》2025年第3期26-28,共3页Chinese Journal of Coloproctology

摘　　要：目的:观察分析肝硬化失代偿期并发肠梗阻患者生存质量及影响因素。方法:选取2020年1月至2023年1月,本院收治的50例肝硬化失代偿期患者。将其中25例并发肠梗阻患者设为观察组;25例未并发肠梗阻患者设为对照组。通过临床治疗与特征观察,结合运用生存质量综合评定及Logistic多因素回归分析,分析该类患者的生存质量及影响因素。结果:相较于对照组,观察组在停止排便排气、发热、呕吐、腹胀和腹痛发生率方面均高于对照组(P<0.05)。在生存质量综合评定方面,观察组生存质量明显低于对照组(P<0.05),心理压力大于对照组(P<0.05),身体功能与社会功能低于对照组(P<0.05),日常生活受到的不利影响较多。患者的高年龄、肠道手术史及血液检查结果不理想是引起肝硬化失代偿期患者并发肠梗阻的主要危险因素。结论:肝硬化失代偿期并发肠梗阻患者生存质量较差,并发症发生率较高,高年龄、肠道系统手术史及血液检查结果不理想是肝硬化失代偿期患者并发肠梗阻的危险因素,临床治疗中应予以重视。Objective To observe and analyze the quality of life of patients with decompensated liver cirrhosis complicated with intestinal obstruction and its influencing factors.Methods Total 50 patients with decompensated cirrhosis admitted to our hospital from January 2020 to January 2023 were selected.Among them,25 patients with intestinal obstruction were set as the observation group,while another 25 patients without intestinal obstruction were set as the control group.Through clinical treatment and characteristic observation,combined with comprehensive assessment of quality of life and logistic multi-factor regression analysis,the quality of life and influencing factors of patients were analyzed.Results Compared with the control group,the incidence of absence of defecation and exhaust,fever,vomiting,abdominal distension and abdominal pain in the observation group were higher(P<0.05).The quality of life of the observation group was significantly lower than that of the control group(P<0.05).The psychological pressure of the observation group was higher than that of the control group(P<0.05).The physical function and social function of the observation group were lower than those of the control group(P<0.05),and the daily life of the observation group was more adversely affected.Advanced age,history of intestinal surgery and unsatisfactory blood test results were the main risk factors for intestinal obstruction in patients with decompensated liver cirrhosis.Conclusion The quality of life of patients with decompensated liver cirrhosis complicated with intestinal obstruction is poor.The incidence of complications is high.Advanced age,history of intestinal surgery and unsatisfactory blood test results are the risk factors for intestinal obstruction in patients with decompensated cirrhosis,which should be paid attention to in clinical treatment.

关 键 词：肝硬化 失代偿期 肠梗阻 生存质量 影响因素 

分 类 号：R575.2[医药卫生—消化系统]