饮食干预对肝硬化合并食管胃底静脉曲张出血患者的影响

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Abstract Objective To explore the effects of esophageal varices patients with dietary intervention on gastrointestinal bleeding.Methods 90 patients with cirrhosis complicated by esophageal and gastric varices bleeding from January 2011 to June 2013 of our department were selected，and were divided into contrast group (n=45) and intervention group (n=45) according to hospital chronologically.The contrast group was cared by conventional methods.The intervention group was on the basis of the active treatment original disease.From the enter hospital assessment，one guidance，dietary intervention，self-management，and other aspects of comprehensive follow-up of institutionalized dietary intervention.The initial bleeding rebleeding rate and mortality between two group was compared.Results The initial bleeding rate of the patients in intervention group was 28.9%，which was lower than that of the contrast group，which rate was 33.3%，there was no significant difference between two groups (P＞0.05).The bleeding rate of the intervention group was 31.1%，which was significantly lower than 64.4% in the control group，with significant difference (P＜0.05).The death rate of intervention group was 4.4%，lower than 15.6% in the control group，with significant difference (P＜0.05).Conclusion The patients of esophageal varices with cirrhosis，primary disease need a timely standard treatment，and a reasonable diet intervention，which can prevent rebleeding in patients and reduce mortality.

Key words： Dietary intervention Liver cirrhosis Esophageal and gastric varices Bleeding

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	ZHANG Gui-juan
	WANG Jin-hua
	YANG Shuang
	WANG Li-li

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ZHANG Gui-juan,WANG Jin-hua,YANG Shuang, et al. Impact of dietary intervention on esophageal and variceal bleeding patients with cirrhosis[J]. 中国当代医药, 2016, 23(3): 185-188.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I3/185

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