不同时机内镜治疗老年急性上消化道出血对患者临床结局的影响  

The Impact of Endoscopic Treatment at Different Times on the Clinical Outcomes of Elderly Patients with Acute Upper Gastrointestinal Hemorrhage

作　　者：金立强[1] 陈丽玲 陈梅香 JIN Liqiang;CHEN Liling;CHEN Meixiang(Digestive Department,Jinjiang Hospital,Jinjiang 362200,China)

机构地区：[1]晋江市医院消化科,福建晋江362200

出　　处：《中国医学创新》2024年第15期97-101,共5页Medical Innovation of China

摘　　要：目的:探讨不同时间内镜治疗老年急性上消化道出血对患者临床结局的影响。方法:选取晋江市医院2021年5月—2023年5月收治的100例急性上消化道出血患者为对象,根据不同治疗方式进行分组,其中在发病12h内采取内镜治疗为观察组,在发病12~24h采取内镜治疗为参照组,各50例。对比两组围手术期相关指标、生化指标及临床治疗结局。结果:观察组输血量少于参照组,手术时间、呕血或黑便停止时间、术后进食时间及住院时间均短于参照组(P<0.05)。治疗后,观察组血小板、血红蛋白及血清白蛋白指标均高于参照组(P<0.05)。两组再出血、转入重症监护病房、术后30 d复发及死亡发生率比较,差异均无统计学意义(P>0.05)。结论:与发病12~24 h采取内镜治疗相比,对老年急性上消化道出血在发病12h内进行内镜治疗可取得更为理想的干预及止血效果,积极缩短相关治疗时间。Objective:To explore the impact of endoscopic treatment at different times on the clinical outcomes of elderly patients with acute upper gastrointestinal hemorrhage.Method:A total of 100 patients with acute upper gastrointestinal hemorrhage admitted to Jinjiang Hospital from May 2021 to May 2023 were selected as the subjects,and they were divided into groups according to different treatment methods,endoscopic treatment within 12 h of onset was used as the observation group,and endoscopic treatment within 12 to 24 h of onset was used as the reference group,with 50 cases in each group.The perioperative related indexes,biochemical indexes and clinical outcomes were compared between the two groups.Result:The blood transfusion volume in the observation group was less than that in the control group,and the surgical time,time to stop vomiting blood or black stool,postoperative eating time and hospital stay were shorter than those in the control group(P<0.05).After treatment,the platelet,hemoglobin and serum albumin indicators of the observation group were higher than those of the control group(P<0.05).There were no significant differences in the incidences of rebleeding,transfer to intensive care unit,recurrence and death 30 days after surgery between two groups(P>0.05).Conclusion:Compared with endoscopic treatment within 12 to 24 hours of onset,endoscopic treatment for acute upper gastrointestinal hemorrhage in the elderly within 12 hours of onset can achieve more ideal intervention and hemostasis effects,actively shorten the relevant treatment time.

关 键 词：急性上消化道出血 不同时机 内镜治疗 临床结局 

分 类 号：R573.2[医药卫生—消化系统]