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| Analysis of Risk Factors for Early Rebleeding after Endoscopic Sequential Treatment in Patients with Cirrhosis Combined with Esophagogastric Varices |
| LIU Wei, CHU Xiaoyan, et al |
| Chengde Central Hospital, Hebei Chengde 067000, China |
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Abstract Objective: To investigate the risk factors of early rebleeding in patients with cirrhosis combined with esophagogastric varices after endoscopic treatment, and to provide accurate prediction for clinical endoscopic treatment of rebleeding.Methods: A total of 386 patients with cirrhosis combined with esophagogastric varices who were hospitalized in the Department of Gastroenterology in our hospital from March 2020 to March 2022 were selected for retrospective analysis, and 80 patients with early postoperative rebleeding were selected as the observation group. 306 patients who received endoscopic treatment without bleeding in hospital were selected as the control group. The clinical indicators of the two groups were compared. Results: Among 386 patients with cirrhosis combined with esophagogastric varices, 80 had early postoperative rebleeding, accounting for 20.73%, and 306 had no bleeding, accounting for 79.27%. Univariate analysis showed that Child -Pugh grade, albumin, serum sodium, spleen thickness, and whether the first band ligation was associated with patients with liver cirrhosis and esophageal varices, which were statistically significant (P<0.05); univariate analysis screened out statistically significant The difference indexes were analyzed by binary logistic regression, and the results showed that Child-Pugh grade, albumin, serum sodium, spleen thickness, and whether or not the first ligation was the independent risk factor for variceal rebleeding (P<0.05). Conclusion: Child-Pugh grade, albumin, serum sodium, spleen thickness, and whether or not the first ligation is an independent risk factor for variceal rebleeding can be used to predict the disease early, and it is worthy of clinical attention.
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2024, Vol. 30 
