老年上消化道出血患者应用急诊胃镜诊治的效果观察  

Observation on the effect of emergency gastroscopy in diagnosis and treatment of elderly patients with upper gastrointestinal hemorrhage

作　　者：赵亮 ZHAO Liang(Department of Gastroenterology,Central Hospital of Sujiatun District,Shenyang 110101,China)

机构地区：[1]沈阳市苏家屯区中心医院消化内科,110101

出　　处：《中国实用医药》2021年第31期41-43,共3页China Practical Medicine

摘　　要：目的 探讨老年上消化道出血患者应用急诊胃镜诊治的效果。方法 选取200例上消化道出血患者作为研究对象,根据年龄分为观察组(老年患者)和对照组(非老年患者),每组100例。两组患者均采用急诊胃镜诊治。对比两组上消化道出血病因情况,治疗效果,并发症发生情况。结果 观察组消化道溃疡及消化道肿瘤占比显著高于对照组,黏膜病变及食管静脉曲张占比显著低于对照组,差异具有统计学意义(P<0.05)。观察组治疗总有效率为97.00%,与对照组的99.00%对比,差异无统计学意义(P>0.05)。观察组并发症发生率为14.00%,与对照组的10.00%对比,差异无统计学意义(P>0.05)。结论 老年上消化道出血患者应用急诊胃镜诊治效果显著,与非老年患者比较差异不大,不仅能全面了解患者上消化道出血的病因,还能提高治疗效果,减少并发症,值得临床加大力度推广。Objective To discuss the effect of emergency gastroscopy in diagnosis and treatment of elderly patients with upper gastrointestinal hemorrhage.Methods A total of 200 patients with upper gastrointestinal hemorrhage as the research subjects,and they were divided into observation group(elderly patients)and control group(non-elderly patients)according to their age,with 100 cases in each group.Both groups were diagnosed and treated by emergency gastroscopy.The etiology,therapeutic effects,and complications of upper gastrointestinal hemorrhage were compared between the two groups.Results The proportion of gastrointestinal ulcers and gastrointestinal tumors in the observation group was significantly higher than that in the control group,and the proportions of mucosal lesions and esophageal varices were significantly lower than those in the control group.All the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 97.00%,which was not statistically significant compared with 99.00%in the control group(P>0.05).The complication rate in the observation group was 14.00%,which was not statistically significant compared with 10.00%in the control group(P>0.05).Conclusion Emergency gastroscope has remarkable effect on elderly patients with upper gastrointestinal hemorrhage,and there is little difference compared with non-elderly patients.It can not only comprehensively understand the causes of upper gastrointestinal hemorrhage,but also improve the therapeutic effect and reduce complications,which is worthy of clinical promotion.

关 键 词：老年上消化道出血 急诊胃镜 诊治效果 

分 类 号：R573.2[医药卫生—消化系统]