Kaohsiung J Med Sci:经历经鼻胃肠内窥镜检查患者鼻出血风险因子研究

2018-05-08 AlexYang MedSci原创

经鼻内窥镜在上消化道病变中被广泛的使用,原因是疼痛较少,鼻出血是最为严重的副作用,但是相关的风险因素还没有很好的鉴定。最近,有研究人员鉴定了经鼻内窥镜鼻出血的风险因素。研究发现,经历经鼻内窥镜检查的患者的鼻出血发生比例为160/3035(5.3%),并且将鼻出血作为体检的一部分。研究人员对患者的数据进行了回顾性的评估,包括了人体测量、医学检查和生活方式参数,还利用了多重逻辑回归分析。多重逻辑回归阐

经鼻内窥镜在上消化道病变中被广泛的使用,原因是疼痛较少,鼻出血是最为严重的副作用,但是相关的风险因素还没有很好的鉴定。

最近,有研究人员鉴定了经鼻内窥镜鼻出血的风险因素。研究发现,经历经鼻内窥镜检查的患者的鼻出血发生比例为160/3035(5.3%),并且将鼻出血作为体检的一部分。研究人员对患者的数据进行了回顾性的评估,包括了人体测量、医学检查和生活方式参数,还利用了多重逻辑回归分析。多重逻辑回归阐释了鼻出血与年龄(10年让步比:0.78, 95% 置信区间(CI) 0.63-0.97, p = 0.027)、女性性别(2.15, 95% CI 1.48-3.12, p < 0.001)、上消化道内窥镜检查(0.55, 95% CI 0.36-0.82, p = 0.004)、慢性/过敏性鼻炎(0.60, 95% CI 0.36-0.98, p = 0.043)显著相关。其他因素,包括抗血小板或者抗血凝集的使用均与鼻出血没有显著的相关性。

最后,研究人员指出,经鼻内窥镜检查的女性和年轻的患者与出血风险的增加显著相关,但是与抗血小板或者抗血凝集药物以及慢性/过敏性鼻炎历史也许没有相关性。

原始出处:

Mieda M, Miyashita H, Osawa H et al. Risk factors for nasal bleeding in patients undergoing transnasal gastrointestinal endoscopy. Kaohsiung J Med Sci. May 2018.

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    2018-05-08 wqkm

    ^_^^_^^_^

    0

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由此可见,鼻出血和咯血可能是几个部位肿瘤的标志。

高血压患者秋季流鼻血要警惕

秋季是中老年人鼻出血的多发季节,其中,高血压引起的鼻出血,约占鼻出血患者的40%。高血压患者鼻出血预示血压不稳定,这往往是脑卒中的一种征兆。当高血压患者鼻出血时,应尽快去医院诊治。

秋冬季高血压多发 专家提醒中老年患者鼻出血需警惕

随着天气逐渐转凉变冷,高血压患病率呈上升趋势。专家提醒若中老年患者鼻出血应加强血压监测,避免因干预不及时增加中风几率。

2016SFORL指南——鼻出血和高血压发布

2016年10月,法国耳鼻喉科学会(SFORL)发布了鼻出血和高血压指南,指南建议针对急性期鼻出血患者测量血压,急性期出血应用药物控制高血压,减少出血持续时间;在鼻出血减弱期监测血压,并用药物控制高血压以减少复发风险。全文获取:下载地址:指南下载(需要扣积分2分, 梅斯医学APP免积分下载) 

2017 BRS多学科共识建议:鼻出血的住院管理

2017年12月,英国鼻科学会(BRS)发布了鼻衄住院管理的多学科共识建议。鼻衄是常见的耳鼻喉科急诊症状,本文主要针对成人鼻衄患者的住院管理提供循证指导建议。