急诊多学科协作诊疗急性上消化道出血的临床研究  

Clinical study on emergency multiple disciplinary team in the diagnosis and treatment of acute upper gastrointestinal bleeding

作　　者：关晖勇 冯俏媛 陈星小 GUAN Huiyong;FENG Qiaoyuan;CHEN Xingxiao(People's Hospital of Yangdong District Yangjiang City,Guangdong,Yangjiang 529500,China)

机构地区：[1]广东省阳江市阳东区人民医院,广东阳江529500

出　　处：《中国医药科学》2020年第21期216-218,共3页China Medicine And Pharmacy

基　　金：广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号156)。

摘　　要：目的观察急诊多学科协作诊疗(MDT)在急性上消化道出血诊断及治疗中的临床价值。方法收集我院2017年6月~2019年6月收治的连续性急性上消化道出血患者120例,将传统急救处理的60例患者作为对照组,采用急诊MDT诊疗的60例患者作为观察组,比较两组患者临床疗效。结果经过不同方式临床诊疗,观察组患者中共有57例抢救有效率为95.0%,高于对照组的75.0%,差异有统计学意义(P<0.05);观察组患者复发出血率及病死率分别为6.7%、0,与对照组的16.7%、3.3%比较,差异有统计学意义(P<0.05)。结论急诊MDT诊断和治疗急性上消化道出血,能够提升抢救成功率,降低复发出血率及死亡率,增强预后,可予以推广。Objective To observe the clinical value of emergency multiple disciplinary team(MDT)in the diagnosis and treatment of acute upper gastrointestinal bleeding.Methods A total of 120 patients with continuous acute upper gastrointestinal bleeding treated in our hospital from June 2017 to June 2019 were collected.The control group was treated with traditional emergency treatment(n=60),and the observation group(n=60)was treated with emergency MDT.The clinical effects of the two groups were compared.Results After intervention,a total of 57(95.0%)patients in the observation group were effectively treated,which was higher than the 75.0%in the control group,and the difference was statistically significant(P<0.05).The recurrence bleeding rate and mortality in the observation group were 6.7%and 0,respectively,which were lower than 16.7%and 3.3%in the control group,and the differences were statistically significant(P<0.05).Conclusion The emergency MDT in the diagnosis and treatment of acute upper gastrointestinal bleeding can improve the success rate of rescue,reduce the recurrence bleeding rate and mortality,and enhance the prognosis,which can be promoted.

关 键 词：急诊MDT 急性上消化道出血 病死率 复发出血 

分 类 号：R573.2[医药卫生—消化系统]