肝硬化腹水合并自发性细菌性腹膜炎的危险因素调查分析

doi:10.3969/j.issn.1006-5253.2017.02.007

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (949 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore correlated risk factors of liver cirrhosis ascites with spontaneous bacterial peritonitis (SBP), then to provide basis for prevention and treatment of SBP patients. Methods Retrospectively we collected data of 200 patients with liver cirrhosis ascites, and according to the incidence of SBP, these cases were divided into the case group (n=57) and the control group (n=143). Then single factor and multiple factor analysis methods were used to analyze the risk factors of liver cirrhosis ascites with SBP. Results The incidence rate of liver cirrhosis ascites with SBP was 28.5% (57/200). Multiple factors analysis result showed that the risk factors of SBP included alimentary tract hemorrhage (OR=1.813), diarrhea (OR=2.181), serum TBIL (OR=2.125), albumin of ascites (OR=2.881) and Child-pugh grades (OR=2.300). Conclusion The incidence rate of liver cirrhosis ascites with SBP lies was high. Many risk factors affected its incidence, such as alimentary tract hemorrhage, diarrhea, high serum bilirubin, low level albumin of ascites and high grade of Child-pugh.

Key words： cirrhosis of liver ascites spontaneous bacterial peritonitis risk factor

Received: 17 December 2016

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Wang Hongjuan
	Lai Haidan
	Tao Zhaodi

Cite this article:

Wang Hongjuan,Lai Haidan,Tao Zhaodi. Investigation analysis on risk factors of liver cirrhosis ascites with spontaneous bacterial peritonitis[J]. journal1, 2017, 24(2): 102-104.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2017.02.007 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2017/V24/I2/102

[1] 何伟锋,李斌,黄文峰,等.肝硬化并发自发性细菌性腹膜炎发病危险因素分析[J].现代诊断与治疗,2013,24(6):1212-1214.
[2] 金琦,何其勇,赵云波,等.1540例肝硬化患者住院费用影响因素分析[J].中国卫生统计,2016,33(1):91-93.
[3] European Association For The Study Of The Liver. EASL clinical practice guidelines on the rearrangement of ascites, spontaneous bacterial peritonitis,and hepatorenal syndrome in cirrhosis[J]. J Hepatol, 2010,53(3):397.
[4] TSUNG PC, RYU SH, CHA IH, et al. Predictive factors that influence the survival rates in liver cirrhosis patients with spontaneous bacterial peritonitis[J]. Clin Mol Hepatol,2013,19(2):131-139.
[5] 李进,胡振斌,李月翠,等.肝硬化患者自发性细菌性腹膜炎腹水感染的相关因素分析[J].中华医院感染学杂志,2014,24(21):5347-5349.
[6] CORRADI F, BRUSASCO C, FEMDNDEZ J, et a1. Effects of pentoxifylline on intestinal bacterial overgrowth,bacterial translocation and spontaneous bacterial peritonitis in cirrhotic rats with ascites[J]. Digest Liver Dis, 2012,44(3):239.
[7] 郑越超,吴梓苗,张爱军,等.肝硬化腹水并发自发性细菌性腹膜炎危险因素分析[J].浙江实用医学,2010,15(5):351-352.
[8] 王万鹏,冯静,许蕾,等.肝炎肝硬化患者并发食管胃底静脉曲张破裂出血的预测指标研究[J].中国全科医学,2015,18(22):2676-2679.
[9] 陆琳.肝硬化腹水并发自发性细菌性腹膜炎的危险因素[J].中国医药导报,2016,13(8):140-142.
[10]PEREZ-CAMEO C, VARGAS V, CASTELLS L, et al. Etiology and mortality of spontaneous bacterial peritonitis in liver transplant recipients: a cohort study[J]. Liver Transpl, 2014,20(7):856-863.
[11]熊克宫,陈丽芳,柯坤宇,等.乙型肝炎肝硬化腹水并发自发性细菌性腹膜炎的危险因素分析[J].实用临床医学,2014,15(1):13-18.
[12]GUNDLING F, SCHMIDTLER F, HAPFELMEIER A, et al. Fecal calprotectin is a useful screening parameter for hepatic encephalopathy and spontaneous bacterial peritonitis in cirrhosis[J]. Liver International, 2011,31(9):1406-1415.