急诊胃镜下治疗急性上消化道出血的临床效果分析  

Analysis of clinical effect of emergency gastroscopy on the treatment of acute upper gastrointestinal bleeding

作　　者：高明 GAO Ming(Third Department of Gastroenterology,Dalian Central Hospital,Dalian 116033,China)

机构地区：[1]大连市中心医院消化内三科/消化内镜中心,116033

出　　处：《中国现代药物应用》2023年第24期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨急诊胃镜下治疗急性上消化道出血的疗效。方法 120例急性上消化道出血患者,根据入院时间分为对照组和观察组,每组60例。对照组接受常规治疗,观察组接受急诊胃镜下治疗。比较两组临床疗效及临床指标。结果 观察组总有效率96.67%高于对照组的83.33%,差异具有统计学意义(P<0.05)。观察组黑便消失时间(54.71±6.02)h、呕血消失时间(22.07±7.21)h、隐血消失时间(40.19±6.53)h、止血时间(17.26±3.02)h、住院时间(7.09±1.12)d均短于对照组的(60.12±8.64)h、(31.74±5.85)h、(49.24±7.11)h、(24.57±6.15)h、(8.41±1.25)d,住院输血量(269.27±50.62)ml少于对照组的(310.24±41.58)ml,差异具有统计学意义(P<0.05)。结论 急性上消化道出血在急诊胃镜下进行诊疗,能促进患者临床症状及体征消失,缩短治疗时间,能降低输血量及提升疗效,临床借鉴运用价值较高,适宜推广。Objective To discuss the efficacy of emergency gastroscopy on the treatment of acute upper gastrointestinal bleeding.Methods A total of 120 patients with acute upper gastrointestinal bleeding were divided into a control group and an observation group according to the time of admission,with 60 cases in each group.The control group received conventional treatment,and the observation group received emergency gastroscopy.The clinical efficacy and clinical indicators of the two groups were compared.Results The total effective rate of 96.67%in the observation group was higher than that of 83.33%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the disappearance time of black stool was(54.71±6.02)h,the disappearance time of hematemesis was(22.07±7.21)h,the disappearance time of occult blood was(40.19±6.53)h,the hemostasis time was(17.26±3.02)h,and the hospitalization time was(7.09±1.12)d,which were shorter than those of(60.12±8.64)h,(31.74±5.85)h,(49.24±7.11)h,(24.57±6.15)h,and(8.41±1.25)d in the control group;the amount of blood transfusion of(269.27±50.62)ml in the observation group was less than that of(310.24±41.58)ml in the control group;the differences were statistically significant(P<0.05).Conclusion The diagnosis and treatment of acute upper gastrointestinal bleeding under emergency gastroscopy can promote the disappearance of clinical symptoms and signs of patients,shorten the treatment time,and reduce the amount of blood transfusion and efficacy.It is of high clinical reference value and suitable for promotion.

关 键 词：急诊胃镜 急性上消化道出血 临床疗效 临床指标 

分 类 号：R573.2[医药卫生—消化系统]