影响自发性细菌性腹膜炎死亡率因素的回顾性研究。

Tuğba Ocak, Macit Gülten
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引用次数: 0

摘要

背景:自发性细菌性腹膜炎(SBP)是肝硬化患者死亡的重要原因。本研究旨在确定SBP死亡率的相关因素。材料和方法:共评估了69例肝硬化患者和74例SBP发作患者。分析了人口学数据、入院症状、合并症、实验室参数、治疗方案、肝硬化原因、评分特征、肝硬化并发症和死亡率。结果:终末期肝病模型(MELD;p=0.001)、钠MELD(p=0.001)和Child-Pugh Turcotte(CTP)评分(p<0.001)与SBP发作患者的死亡率相关。肝肾综合征(p=0.001)和食管静脉曲张破裂出血(p<0.001)与死亡率相关。在多变量回归分析中,血清乳酸脱氢酶(LDH)(p=0.007)、血清白细胞(p=0.017)和血清血红蛋白(p=0.010)值对死亡率有统计学显著影响。讨论:通过识别SBP发作患者死亡的影响因素,可以降低死亡率。如何引用这篇文章:Ocak T,Gülten M.影响自发性细菌性腹膜炎死亡率因素的回顾性调查。Euroasian J Hepato-Gastroenterol 2023;13(1):5-9。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Investigation of Factors Affecting Mortality in Spontaneous Bacterial Peritonitis.
Abstract Background Spontaneous bacterial peritonitis (SBP) is an important reason for mortality in cirrhosis. This study aimed to identify the factors associated with mortality in SBP. Materials and methods A total of 69 patients with cirrhosis and 74 with SBP attacks that occurred in this group were assessed. Demographic data, symptoms at admission, comorbidities, laboratory parameters, treatment protocols, causes of cirrhosis, scoring characteristics, cirrhosis complications, and mortality were analyzed. Results Model for end-stage liver disease (MELD; p = 0.001), sodium-MELD (p = 0.001), and Child–Pugh–Turcotte (CTP) (p < 0.001) scores were correlated with mortality in patients with SBP episodes. Hepatorenal syndrome (p = 0.001) and esophageal variceal bleeding (p < 0.001) related to mortality. Serum lactate dehydrogenase (LDH) (p = 0.007), serum leukocyte (p = 0.017), and serum hemoglobin (p = 0.010) values had a statistically significant effect on mortality in multivariate regression analysis. Discussion The mortality rate can be reduced by identifying factors influencing death in patients with SBP episodes. How to cite this article Ocak T, Gülten M. Retrospective Investigation of Factors Affecting Mortality in Spontaneous Bacterial Peritonitis. Euroasian J Hepato-Gastroenterol 2023;13(1):5–9.
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