[1]琚 珊,吴 成.各年龄段住院儿童消化道出血的临床分析及并发贫血的危险因素研究[J].医学信息,2022,35(07):151-154.[doi:10.3969/j.issn.1006-1959.2022.07.039]
　JU Shan,WU Cheng.The Clinical Analysis of gastrointestinal Bleeding in Hospitalized Children at Different Ages and the Risk Factors for Anemia[J].Medical Information,2022,35(07):151-154.[doi:10.3969/j.issn.1006-1959.2022.07.039]
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各年龄段住院儿童消化道出血的临床分析及并发贫血的危险因素研究()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
151-154
栏目:
调查分析
出版日期:
2022-04-01

文章信息/Info

Title:
The Clinical Analysis of gastrointestinal Bleeding in Hospitalized Children at Different Ages and the Risk Factors for Anemia
文章编号:
1006-1959（2022）07-0151-04
作者:
琚 珊; 吴 成
（安徽医科大学附属省儿童医院消化内科，安徽 合肥 230051）
Author(s):
JU Shan; WU Cheng
(Department of Gastroenterology,Provincial Children’s Hospital Affiliated to Anhui Medical University,Hefei 230051,Anhui,China)
关键词:
消化道出血; 呕血; 黑便; 贫血
Keywords:
Gastrointestinal bleeding; Hematemesis; Black feces; Anemia
分类号:
R573.2；R544
DOI:
10.3969/j.issn.1006-1959.2022.07.039
文献标志码:
A
摘要:
目的 总结不同年龄段儿童消化道出血（GIB）的临床特点并探讨其并发贫血的危险因素。方法 选择2020年2月-2021年1月在我院住院部确诊为GIB的265例患儿临床资料进行分析，总结其临床特点及不同年龄段儿童GIB临床表现分布情况，并用多因素Logistic回归统计学方法研究其并发贫血的危险因素。结果 265例GIB患儿中以男性为主，发病年龄以婴儿期为主，发病季节以秋季稍多见。临床以呕血、便血为主要表现，分别占37.74%、41.13%。GIB患儿常伴有腹痛，但腹胀较为少见。不同年龄组呕血、黑便、贫血及腹痛情况比较，差异有统计学意义（P＜0.05）；近半数的GIB患儿表现出贫血症状。单因素分析结果显示：贫血组与非贫血组GIB患儿发病季节、是否呕血、是否黑便以及白细胞（WBC）、血肌酐（Scr）值比较，差异有统计学意义（P＜0.05）；多因素Logistic回归分析显示：WBC、Scr与GIB患儿并发贫血关系较为密切，差异有统计学意义（P＜0.05）。结论 WBC、Scr为GIB患儿并发贫血的独立危险因素，应引起重视，及早采取积极的治疗及预防措施。
Abstract:
Objective To summarize the clinical characteristics of gastrointestinal bleeding (GIB) in children at different ages and explore the risk factors for anemia.Methods The clinical data of 265 children with GIB diagnosed in our hospital from February 2020 to January 2021 were analyzed. The clinical characteristics and clinical manifestations of GIB in children of different ages were summarized, and the risk factors of anemia were studied by multivariate Logistic regression statistical method.Results A total of 265 children with GIB were mainly male, and the age of onset was mainly in infancy, and the onset season was slightly more common in autumn. The main clinical manifestations were hematemesis and hematochezia, accounting for 37.74% and 41.13%, respectively. GIB children often had abdominal pain, but abdominal distension is rare. There were significant differences in hematemesis, black stool, anemia and abdominal pain among different age groups (P<0.05). Nearly half of GIB children showed anemia symptoms. The results of univariate analysis showed that there were statistically significant differences in the onset season, hematemesis, black stool, white blood cell (WBC) and serum creatinine (Scr) between the anemia group and the non-anemia group of GIB children (P<0.05). Multivariate Logistic regression analysis showed that WBC and Scr were closely related to anemia in children with GIB, and the difference was statistically significant (P<0.05).Conclusion WBC and Scr are the independent risk factors of GIB complicated with anemia. Clinicians should pay attention to it and take active treatment and preventive measures as soon as possible.

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更新日期/Last Update: 1900-01-01