经消化内镜治疗胃十二指肠溃疡出血的临床效果评价  

Clinical Evaluation of Endoscopic Treatment for Gastric and Duodenal Ulcer Bleeding

作　　者：苏建裕 SU Jianyu(Zhangzhou Second Hospital,Zhangzhou 363199,China)

机构地区：[1]漳州市第二医院消化内科,福建漳州363199

出　　处：《中华灾害救援医学》2024年第4期427-429,共3页Chinese Journal of Disaster Medicine

摘　　要：目的评价胃十二指肠溃疡出血经消化内镜治疗的临床效果。方法回顾性分析2020年2月至2023年2月漳州市第二医院收治的胃十二指肠溃疡出血患者100例,依据治疗方法不同分为两组,经消化内镜治疗组、常规性药物治疗组,每组各50例。统计分析两组临床指标、止血效果、止血时间、胃溃疡消化性溃疡出血的Forrest分级、呕血次数、黑便次数、临床疗效。结果经消化内镜治疗组患者的出血量、输血量均少于常规性药物治疗组;止血时间、住院时间均短于常规性药物治疗组;止血有效率高于常规性药物治疗组;再出血率、手术治疗率均低于常规性药物治疗组;止血时间<12 h的比例高于常规性药物治疗组,12~48 h、>48 h的比例均低于常规性药物治疗组。经消化内镜治疗组患者的治疗总有效率为94.00%(47/50),高于常规性药物治疗组的78.00%(39/50),差异有统计学意义(P<0.05)。结论胃十二指肠溃疡出血经消化内镜治疗的临床效果较常规性药物治疗好。Objective To evaluate the clinical effect of endoscopic treatment for gastroduodenal and duodenal ulcer bleeding.Methods A retrospective analysis was performed on 100 patients with bleeding gastroduodenal and duodenal ulcer in our hospital from February 2020 to February 2023.According to the treatment methods,they were divided into the digestive endoscopic treatment group and the conventional drug treatment group,with 50 cases in each group.Clinical indexes,hemostatic effect,hemostatic time,Forrest grade of peptic ulcer bleeding,hematemesis times,black stool times,and clinical efficacy of the two groups were statistically analyzed.Results In the digestive endoscopy treatment group,the amount of blood loss and blood transfusion was lower than that in the conventional drug treatment group,the hemostatic time and hospital stay were shorter than that in the conventional drug treatment group,the hemostatic effective rate was higher than that in the conventional drug treatment group,the rate of rebleeding and surgical treatment were lower than that in the conventional drug treatment group,the proportion of patients with hemostatic time<12 h was higher than that in the conventional drug treatment group,the proportion of patients with hemostatic time 12~48 h and>48 h was lower than that of the conventional drug treatment group.The total effective rate of the digestive endoscopy treatment group was 94.00%(47/50),which was higher than that of the conventional drug treatment group 78.00%(39/50).All of the differences were statistically significant(P<0.05).Conclusion The clinical effect of endoscopic treatment of gastroduodenal and duodenal ulcer bleeding is better than that of conventional drug treatment.

关 键 词：胃溃疡 十二指肠溃疡 出血 止血 

分 类 号：R573.1[医药卫生—消化系统]