非甾体抗炎药致上消化道出血的临床特征

被引:139
作者
李军婷
李兆申
刘厚珏
王吉耀
江石湖
袁耀宗
王根生
机构
[1] 第二军医大学附属长海医院消化内科!上海
[2] 上海医科大学中山医院
[3] 上海第二医科大学瑞金医院
[4] 上海华东医院
关键词
非甾体抗炎药; 上消化道出血;
D O I
暂无
中图分类号
R573.2 [上消化道出血];
学科分类号
1002 ; 100201 ;
摘要
目的 研究非甾体抗炎药( NSAIDs)致上消化道出血的临床特征。方法 调 查上海 4家医院的上消化道出血住院患者的临床资料,根据出血前 10d内是否服用过 NSAID s,将其分为两组进行比较。结果 424例上消化道出血患者中有 70例 (16.51% )服用过 NS AIDs。两组比较,患者的性别、消化道溃疡史、出血程度、病变大小及部位比较差异无显著 性( P >0.05);但 NSAIDs组患者的年龄偏大,较多患者有消化道出血史、心血管病史, 出血前消化道症状不明显,溃疡或糜烂更易多发,平均住院天数明显减少( P<0.05)。结论 应采取适宜策略降低NSAIDs的不良反应。
引用
收藏
页码:22 / 25
页数:4
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