890例急性上消化道出血患者电子胃镜完成情况调查分析  

Investigation and Analysis of Electronic Gastroscopy in 890 Patients with Acute Upper Gastrointestinal Bleeding

作　　者：潘满冬[1] 徐志鸿 黄贤伟[1] 蔺际[1] PAN Mandong;XU Zhihong;HUANG Xianwei;LIN Jiyan(Emergency Department,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China)

机构地区：[1]厦门大学附属第一医院急诊部,福建厦门361001

出　　处：《中外医疗》2021年第32期43-46,共4页China & Foreign Medical Treatment

基　　金：厦门医疗卫生指导性项目(3502720199009)。

摘　　要：目的分析急性上消化道出血患者的电子胃镜完成情况。方法回顾性分析2019年1—12月就诊于厦门大学附属第一医院急诊科的所有急性上消化道出血患者,将就诊后的患者分为5个时间段,对比分析电子胃镜完成情况、不同时间段住院费用、住院时间、责任病灶检出数与胃镜下治疗情况。结果共收集890例急性上消化道出血患者,410例患者完成电子胃镜,责任病灶检出率和内镜下止血治疗比率最高的时间分别为患者就诊后12~24 h时段和6~12 h时段,与≥48 h时段比较,差异有统计学意义(P<0.05)。613例患者住院治疗,57.7%(354/613)患者完成电子胃镜检查,就诊后12~24 h时段完成电子胃镜检查患者的住院时间和住院费用最低,与未做电子胃镜及≥48 h时段比较,差异有统计学意义(Z=4.380、5.010,P<0.05)。结论患者就诊后12~24 h接受电子胃镜检查有利于急诊上消化道出血患者病情诊治。Objective To analyze the completion of electronic gastroscopy in patients with acute upper gastrointestinal bleeding.Methods A retrospective analysis of all patients with acute upper gastrointestinal bleeding in the emergency department of the First Affiliated Hospital of Xiamen University for the January to December 2019,and the patients after the consultation were divided into 5 time periods.The completion of electronic gastroscopy,hospitalization expenses in different time periods,hospitalization days,number of detected responsible lesions,and treatment under gastroscopy were compared and analyzed.Results A total of 890 patients with acute upper gastrointestinal hemorrhage were collected,and 410 patients completed electronic gastroscopy.The time when the detection rate of responsible lesions and the rate of endoscopic hemostasis treatment were the highest were 12-24 h and 6-12 h after the patient's visit.Compared with the period of≥48 h,the difference was statistically significant(P<0.05).613 patients were hospitalized,and 57.7%(354/613)patients completed electronic gastroscopy.Patients who completed electronic gastroscopy within 12-24 h after treatment had the lowest hospitalization time and hospitalization costs,compared with those without electronic gastroscopy and≥48 h,the difference was statistically significant(Z=4.380,5.010,P<0.05).Conclusion It is beneficial to diagnose and treat patients with upper gastrointestinal hemorrhage in emergency department to receive electronic gastroscopy 12-24 h after treatment.

关 键 词：上消化道出血 电子胃镜 住院费用 住院时间 

分 类 号：R5[医药卫生—内科学]