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Article Navigation >  Journal of Kunming Medical University  > 2018  >  39(05): 100-105
He Han . 急性下消化道大出血患者急诊肠镜诊断效果及其影响因素[J]. Journal of Kunming Medical University, 2018, 39(05): 100-105.
Citation: He Han . 急性下消化道大出血患者急诊肠镜诊断效果及其影响因素[J]. Journal of Kunming Medical University, 2018, 39(05): 100-105.
shu

急性下消化道大出血患者急诊肠镜诊断效果及其影响因素

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基金： 四川省卫生厅科研基金资助项目 (1102458);

  • Received Date: 2018-01-20
    Abstract

  • 目的 分析急性下消化道大出血患者急诊肠镜诊断效果及影响因素.方法 选取凉山彝族自治州第一人民医院2016年5月至2017年5月收治的56例急性下消化道大出血患者, 均行急诊结肠镜检查, 分析急性下消化道大出血病因, 比较不同肠道准备方法、不同出血程度患者急诊肠镜检查完成情况, 依据急诊肠镜检查成功与否分为检查成功组、检查失败组, 比较2组临床资料, 分析影响急诊肠镜检查的影响因素.结果 急性下消化道大出血病因有结肠癌、结肠息肉、结肠憩室等;不同肠道准备方法诱发再出血或出血加重率无明显差异 (P>0.05) , 重度出血组活动性出血病灶发现率高于轻度出血组、中度出血组 (P<0.05)>45岁、阑尾切除史、服药期间步行时间短、肠道准备不充分、检查前未服完全部清肠药、肠道解剖结构异常、医师操作不规范比例低于检查失败组 (P<0.05)>45岁、肠道准备不充分、肠道解剖结构异常是急性下消化道大出血患者急诊肠镜检查失败的独立危险因素 (P<0.05)>45岁、肠道准备不充分、肠道解剖结构异常是影响其诊断效果的独立危险因素.

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    • References(20)
  • [1]李萍, 李武良, 车娅, 等.口服小剂量阿司匹林致消化道出血120例的临床分析[J].湖南师范大学学报 (医学版) , 2015, 12 (6) :35-37.
    [2]于仕杰, 刘军.生长抑素治疗肝硬化上消化道出血180例临床观察[J].实用医院临床杂志, 2014, 11 (3) :102-103.
    [3]田旭兰.急诊胃镜诊断上消化道出血原因临床分析[J].实用医院临床杂志, 2010, 7 (4) :147.
    [4]曹磊, 赵宁军, 陈可, 等.32例急性下消化道大出血的治疗[J].中国急救复苏与灾害医学杂志, 2015, 10 (3) :294-296.
    [5]刘晓亮.急诊PTVE-PSE治疗门静脉高压症导致的急性消化道大出血的效果观察[J].肝脏, 2016, 21 (7) :532-535.
    [6]
    [6]于皆平.实用消化病学[M].第2版.北京:科学出版社, 2008:232-232.
    [7]曹立军, 贺学强, 张清勇, 等.胶囊内镜联合双气囊小肠镜对不明原因消化道出血诊断价值的研究[J].胃肠病学和肝病学杂志, 2015, 24 (4) :468-470.
    [8]刘风荣, 李毅.综合护理干预对消化道出血消化内镜治疗后再出血的影响[J].中国医药导刊, 2016, 18 (2) :193-190.
    [9]伍国顺.Glasgow-Blatchford和AIMS65评分系统在急性消化道出血患者预后评估中的价值[J].中国内镜杂志, 2016, 22 (4) :71-76.
    [10]靳瑾, 周知然.归脾汤治疗50例上消化道出血合并急性冠脉综合征的临床观察[J].中国医药导刊, 2016, 18 (10) :1023-1025.
    [11]刘鸿儒, 杨幼林.结肠镜检查操作困难影响因素及解决方法[J].检验医学与临床, 2016, 13 (16) :2393-2395.
    [12]方军, 马丹, 王树玲, 等.肠道准备质量影响因素中患者相关因素的研究进展[J].中华消化内镜杂志, 2016, 33 (4) :265-267.
    [13]
    [13]FANG J, FUH, MAD, et al.Constipation, fiber intake and incompliance contribute to inadequate colonoscopy bowel preparation:A prospective cohort study[J].Journal of Digestive Diseases, 2016, 17 (7) :458.
    [14]
    [14]HAUTEFEUILLE G, LAPUELLE J, CHAUSSADES, et al.Factors related to bowel cleansing failure before colonoscopy:Results of the PACOME study[J].Nursing Forum, 2014, 2 (1) :22-29.
    [15]曹燕玺, 吕欣, 韩丽艳, 等.急诊上消化道出血患者的临床特征及胃镜诊治时机对预后的影响[J].医学临床研究, 2017, 34 (5) :984-985.
    [16]李璟, 唐瑾, 陈烨, 等.不同肠道清洁度下急诊肠镜对急性下消化道大出血的诊断价值[J].南方医科大学学报, 2017, 37 (4) :522-527.
    [17]刘涵, 陈磊, 徐世伟, 等.急诊结肠镜检查在急性下消化道出血诊治中的价值[J].临床急诊杂志, 2016, 17 (8) :628-630.
    [18]秦国涛, 赵燕颖, 李祺, 等.老年急性下消化道出血急诊结肠镜检查233例临床分析[J].中国临床研究, 2015, 28 (1) :52-54.
    [19]张媛媛, 钮美娥, 汪茜雅, 等.结肠镜检查前肠道准备效果的现况调查及影响因素分析[J].中国实用护理杂志, 2017, 33 (14) :1085-1088.
    [20]
    [20]SACHDEVAR, TSAI S D, ZEINMHE, et al.Predictors of incomplete optical colonoscopy using computed tomographic colonography[J].Saudi Journal of Gastroenterology, 2016, 22 (1) :43-49.
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