消化道出血急诊介入治疗的研究  

Study on emergency intervention treatment for gastrointestinal bleeding

作　　者：高超[1] 李金博[2] GAO Chao;LI Jin-bo(Emergency Department,Gaotang County People's Hospital,Liaocheng Shandong Province 252800,China;NO.1 General Surgery(Gastrointestinal,Hepatobiliary)Department,Gaotang County People's Hospital of Shandong Province)

机构地区：[1]高唐县人民医院急诊科,山东聊城252800 [2]山东省高唐县人民医院普外一科(胃肠肝胆)

出　　处：《中国城乡企业卫生》2024年第4期112-114,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨急诊介入治疗消化道出血的临床疗效。方法研究选取2022年3月—2023年3月在高唐县人民医院接受急诊介入治疗的消化道出血患者60例,入院后以电脑随机法均分为观察组和对照组各30例。对照组给予内镜下药物注射治疗,观察组给予内镜下金属钳夹术治疗。并就治疗有效率、二次出血率及出血停止、消化功能恢复与住院时间展开观察比较。结果观察组治疗总有效率为96.67%,高于对照组的80.00%;二次出血率为3.33%,低于对照组的23.33%,差异均有统计学意义(χ^(2)=4.043、5.192,P<0.05)。观察组出血停止、消化功能恢复及住院时间均短于对照组,差异均有统计学意义(P<0.05)。结论急诊介入治疗消化道出血具有较好效果,且内镜下金属钳夹术治疗更利于提升治疗有效率,并加快出血停止、消化功能恢复及住院时间,同时降低二次出血概率,值得临床应用推广。Objective To explore the clinical efficacy of emergency interventional treatment for gastrointestinal bleeding.Methods A total of 60 patients with gastrointestinal bleeding who received emergency intervention treatment at Gaotang County People's Hospital from March 2022 to March 2023 were selected for the study.After admission,they were randomly divided into observation group and control group using computer randomization,with 30 cases in each group.The control group was treated with endoscopic drug injection,while the observation group was treated with endoscopic metal clamp surgery.The treatment effectiveness,secondary bleeding rate,bleeding cessation,digestive function recovery and hospitalization time were observed and compared.Results The total effective rate of the observation group was 96.67%,which was higher than the 80.00%of the control group;the secondary bleeding rate was 3.33%,which was lower than that of the control group with 23.33%,and the differences were statistically significant(χ^(2)=4.043,5.192,P<0.05).The bleeding cessation,digestive function recovery and hospital stay in the observation group were shorter than those in the control group,and the dfferences were statistically significant(P<0.05).Conclusion Emergency intervention treatment for gastrointestinal bleeding had a good effect,and endoscopic metal clamp surgery was more conducive to improving treatment efficiency,accelerating bleeding cessation,digestive function recovery and hospital stay,while reducing the probability of secondary bleeding.It was worthy of clinical application and promotion.

关 键 词：急诊介入治疗 消化道出血 内镜下药物注射 内镜下金属钳夹术 

分 类 号：R573.2[医药卫生—消化系统]