酒精性肝硬化并发细菌性腹膜炎影响因素研究.docVIP

酒精性肝硬化并发细菌性腹膜炎影响因素研究 　　[摘要] 目的 对导致酒精性肝硬化并发细菌性腹膜炎发生的危险因素进行分析，以更好的防治酒精性肝硬化后细菌性腹膜炎的发生。 方法 对湖北省十堰市茅箭区人民医院2010年1月～2013年7月收治的33例并发细菌性腹膜炎的酒精性肝硬化及33例未并发细菌性腹膜炎的酒精性肝硬化患者的临床资料进行回顾性分析，分析导致酒精性肝硬化并发细菌性腹膜炎发生的危险因素。并对导致危险因素与酒精性肝硬化并发细菌性腹膜炎的相关性进行分析。 结果 观察组年龄、病程、住院时间、饮酒量均明显高于对照组。年龄、病程、肝功能Child-Pugh分级、住院时间及日常饮酒量均为导致酒精性肝硬化并发细菌性腹膜炎的危险因素，且与其存在线性相关关系。 结论 年龄、病程、肝功能Child-Pugh分级、住院时间及日常饮酒量为酒精性肝硬化并发细菌性腹膜炎的危险因素，我们应该采取针对性的预防措施进行干预，以改善患者的预后。 [关键词] 酒精性肝硬化；细菌性腹膜炎；危险因素 [中图分类号] R575.2 [文献标识码] B [文章编号] 1673-9701（2013）34-0047-03 Influence factors of alcoholic cirrhosis patients complicated with bacterial peritonitis GUAN Lihong1 XU Hui2 1.Department of Internal Medicine， Maojian District People’s Hospital of Shiyan City in Hubei Province， Shiyan 442000， China； 2.Department of Medical Imaging， the First Affiliated Hospital of Peking University， Beijing 100034， China [Abstract] Objective To investigate the influence factors of alcoholic cirrhosis patients complicated with bacterial peritonitis in order to prevent ang treat the alcoholic cirrhosis and bacterial peritonitis. Methods The clinical data of thirty-three alcoholic cirrhosis patients complicated with bacterial peritonitis and thirty-three alcoholic cirrhosis patients without bacterial peritonitis who were treated in the Maojian District People’s Hospital of Shiyan City in Hubei Province from January 2010 to July 2013 were retrospectively analyzed in order to find out the risk factors of alcoholic liver cirrhosis complicated with bacterial peritonitis. And the risk factors and the correlation of alcoholic liver cirrhosis complicated with bacterial peritonitis were analyzed. Results The age， course， liver function Child-Pugh grade the length of hospital stay and alcohol of patients in the observation group were significantly higher than that of patients in the control group. Age， course， cirrhosis of the liver stages， Length of hospital stay and daily drinking were risk factors for causeing alcoholic liver cirrhosis patients