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目的研究肝静脉压力梯度(HVPG)对食管静脉曲张套扎术(EVL)后早期再出血的预测价值。方法选取该院2014年1月-2015年1月收治的120例EVL后早期再出血患者作为研究对象,收集其各项临床重要参数,并进行HVPG测量,采用Logistic回归分析的方法对评估阈值进行分析。结果饮酒、早期出血、胆红素、心率、输血量、Child-Pugh评分和自终末期肝病模型(MELD)评分组间比较差异有统计学意义(P<0.05);HVPG=16.98 mm Hg,为预测再出血的阈值,且在该时间内的预测准确性最高。结论 HVPG对EVL术后早期再出血具有预测价值。
Objective To study the predictive value of hepatic venous pressure gradient (HVPG) for early rebleeding after esophageal variceal ligation (EVL). Methods One hundred and twenty patients with early rebleeding after EVL were selected from January 2014 to January 2015 in our hospital. All clinical parameters were collected and HVPG was measured. Logistic regression was used to evaluate the threshold analysis. Results There was significant difference between alcohol consumption, early bleeding, bilirubin, heart rate, blood transfusion, Child-Pugh score and MELD score (P <0.05). HVPG = 16.98 mm Hg was Predict the threshold of rebleeding, and the prediction accuracy within this time is the highest. Conclusions HVPG has predictive value for the early rebleeding after EVL.