Objective:To analyze the factors affecting the recurrence of patients with non-varices upper gastrointestinal bleeding (NVUGIB) after receiving digestive endoscopy.Methods:The clinical data of 120 patients with NVUGIB who received digestive endoscopy were retrospectively analyzed. The patients were divided into recurrence group and non-recurrence group according to their recurrence status, and the risk factors affecting recurrence were analyzed.Results:The results of univariate analysis showed that there was no significant difference in age, gender and body mass index between the relapsed group and the non-relapsed group (all P>0.05), and there was significant difference in Forrest grade, hemoglobin concentration, platelet count, peptic ulcer, shock, improper diet, premature getting out of bed, constipation and subsequent proton pump inhibitors (all P<0.05). The results of multivariate logistic regression analysis showed that the Forrest grade(Ⅰa), hemoglobin level (<100 g/L), platelet count (<100×10 9/L), peptic ulcer, shock, improper diet, premature getting out of bed, constipation and subsequent proton pump inhibitorsare the risk factors of recurrence in patients with NVUGIB (all P<0.05). Conclusions:Clinically, targeted preventive measures should be taken based on the risk factors that affect the recurrence of patients with NVUGIB after digestive endoscopic treatment.

慢性便秘是一种常见的消化系统疾病,分为慢传输型便秘(slow transit constipation,STC)、出口梗阻型便秘(outlet obstructive constipation,OOC)和混合型便秘(MIX constipation).STC是由于粪便在肠腔内通过缓慢,水分过度被吸收,粪便干结,排出困难[1];OOC多由于用力排便时肛门外括约肌出现矛盾收缩,致使粪便滞留于肠内;MIX具备以上两者特点.目前肠道水疗是治疗慢性便秘腹胀、腹痛,心情烦躁,以及缓解重度便秘症状的重要治疗手段.我科将2006年7月至2013年7月收治的224例慢性便秘患者按照不同疗程分组观察了其治疗效果和远期疗效,为规范肠道水疗疗程提供参考.