Journal of Capital Medical University ›› 2017, Vol. 38 ›› Issue (4): 604-608.doi: 10.3969/j.issn.1006-7795.2017.04.022

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Changes of the aetiologies of cirrhosis and its complications in north China

Wang Zheng, Ding Huiguo, Chen Yuhan, Li Lei, Fan Chunlei, Dong Peiling   

  1. Department of GI and Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
  • Received:2017-03-20 Online:2017-07-21 Published:2017-07-20
  • Supported by:
    This study was supported by Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding (ZYLX201610), Beijing Municipal Administration of Hospitals' Ascent Plan (DFL20151602), Capital Science and Technology Development Fund (2014-1-2181), Liver and AIDS Disease Fund of Beijing Youan Hospital(20150103)

Abstract: Objective To investigate the prevalence changes of aetiologies and complications of liver cirrhosis in northern China. Methods In this retrospective study, we identified cases of the demographic information and complications of patients with cirrhosis who were firstly hospitalized between December 31, 2013 to January 1, 2002. Two years were defined as a stage, to clarify the prevalence of the etiology of cirrhosis and complications in north China. Results Total 12 948 cirrhosis inpatients were included in this study during 12 years. Of them, male was accounted 69.02% and female 30.98%. The average age of all of the patients was (51.29±11.81) years (from7 to 93 year). Hepatitis B virus/hepatitis C virus (HBV/HCV) and alcoholic liver cirrhosis were most male, and autoimmune, drug-induced and non-alcoholic related cirrhosis were predominantly female. The hospitalized patients with cirrhosis were gradually increased. HBV related cirrhosis had fallen from 86.72% to 78.65% (P<0.01), however, HCV related cirrhosis had increased from 8.07% to 19.27% (P<0.01). The alcoholic, autoimmune and cryptogenic cirrhosis were respectively increased from 7.68% to 16.52%, from 2.65% to 10.0% and from 0.72% to 5.27% (P<0.01). The non-alcoholic fatty liver cirrhosis accounted for 3.76%. Ascites is the most common complication accounted for 66.34%, simple ascites and gastrointestinal bleeding constituent ratio decreased, while more than 2 complications increased in cirrhostic patients. Conclusion Hospitalized cirrhotic patients are increased. A significant increased constituent ratio of HCV, alcoholic, autoimmune and nonalcoholic cirrhosis are observed. The constituent ratio of ascites, gastrointestinal bleeding remained a major complication, are decreased.

Key words: liver cirrhosis, etiology, complications, composition ratio

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