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【摘要】 目的 探讨幽门螺杆菌阴性消化性溃疡并发出血的危险因素。方法 对138例幽门螺杆菌阴性消化性溃疡的影响因素采用病例-对照研究的方法。117例发生并发症出血。研究项目包括:性别、年龄、吸烟史、饮酒史、腹痛、休克表现、高血压、冠心病、糖尿病、服用非甾体抗炎药情况、心理因素、伴随疾病、溃疡情况、血脂异常、凝血功能异常、血小板计数、血红蛋白值。 结果 单因素分析显示无腹痛(P=0.003)、有休克表现(P=0.004)、伴随疾病者(P=0.005)、溃疡活动期(P=0.003)有统计学意义;进行Logistic回归模型多因素分析显示:无腹痛、有休克表现、伴随疾病者、溃疡活动期有统计学意义(P 表1
138例H.pylori阴性PU是否并发出血的
临床资料比较(例)
项目并发出血未并发出血χ2P值
年龄(岁)1004111
血红蛋白�(g/L)≤1207392.8180.093
>1204412
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