急性胃出血的急诊治疗及效果分析  

Emergency Treatment and Effect Analysis of Acute Gastric Hemorrhage

作　　者：李强 LI Qiang(Department of Emergency,Wuhua County People's Hospital,Meizhou,Guangdong Province,514400 China)

机构地区：[1]广东省梅州市五华县人民医院急诊科,广东梅州514400

出　　处：《中外医疗》2020年第14期38-40,共3页China & Foreign Medical Treatment

摘　　要：目的观察急性胃出血采取急诊治疗的临床效果。方法便利收集自2018年5月—2019年5月时间段该院急诊科接治的72例患者为急性胃出血的患者开展研究,以就诊顺序与患者需求分为单一组(n=36)和治疗组(n=36),对单一组36例患者采取保守药物诊疗,治疗组36例患者基于保守治疗前提下采取急诊内镜下止血,对比两组治疗效果、出血控制时间与住院时间及生活质量(心理功能、生理功能和社会领域、总健康活力及躯体能力)。结果通过治疗后,治疗组的总有效率94.44%较单一组的总有效率77.78%升高效果明显(χ^2=4.181,P<0.05);治疗组出血控制时间(2.80±0.85)min与住院时间(6.69±1.18)d相比较单一组明显较短,两组差异有统计学意义(t=11.764、8.819,P<0.05);采用生活健康量表评价72例患者生活质量,结果显示,治疗组在心理功能(80.01±5.25)分、生理功能(81.12±5.02)分和社会领域(80.01±2.18)分、总健康活力(82.31±4.56)分及躯体能力(83.14±2.24)分与单一组比较改善效果显著,差异有统计学意义(t=9.762、11.054、14.388、15.478、21.288,P<0.05)。结论急性胃出血采取胃镜下止血和药物协同治疗效果理想,可有效缩短出血时间与住院时间,缓解临床症状,对患者生活质量具有积极作用,是一种值得临床应用与推广的治疗措施。Objective To observe the Emergency clinical effect of emergency treatment for acute gastric bleeding.Methods A total of 72 patients who were convenient treated in the clinic from May 2018 to May 2019 were studied for acute gastric bleeding.The order of consultation and patient needs was divided into a single group(n=36)and a treatment group(n=36),36 patients in a single group were treated with conservative medicine,and 36 patients in the treatment group were treated with emergency endoscopic hemostasis based on conservative treatment.The treatment effects,bleeding control time,hospital stay,and quality of life were compared between the two groups(psychological function,physical function and social sphere,total health,vitality and physical ability).Results After passing the treatment,the total effective rate of the treatment group was 94.44%,which was significantly higher than the total effective rate of 77.78%in the single group(χ^2=4.181,P<0.05);bleeding control time(2.80±0.85)min and hospital stay time(6.69±1.18)d is significantly shorter than the single group,and the difference between the two groups is statistically significant(t=11.764,8.818,P<0.05);the quality of life of 72 patients was evaluated using the life health scale,and the results showed that the treatment group was in The scores of psychological function(80.01±5.25)points,physiological function(81.12±5.02)points,social field(80.01±2.18)points,total health and vitality(82.31±4.56)points,and physical ability(83.14±2.24)points were improved compared with the single group.The effect was significant and the difference was statistically significant(t=9.762,11.054,14.388,15.478,21.288,P<0.05).Conclusion Gastroscopic hemostasis and drug synergistic treatment with acute gastric hemorrhage have ideal effects,can effectively reduce bleeding time and hospitalization time,relieve clinical symptoms,and have a positive effect on patients'quality of life.It is a treatment measure worthy of clinical application and promotion.

关 键 词：急性胃出血 保守治疗 生活质量 胃镜下止血 效果 

分 类 号：R573[医药卫生—消化系统]