急诊内镜在消化道肿瘤致上消化道出血中的诊疗价值  

Diagnostic and Therapeutic Value of Emergency Endoscopy in Upper Gastrointestinal Bleeding Caused by Gastrointestinal Tumors

作　　者：侯再强 陈剑波 HOU Zaiqiang;CHEN Jianbo(Yanhe County People's Hospital Tongren,Tongren 565300,China)

机构地区：[1]沿河县人民医院,贵州铜仁565300

出　　处：《中华灾害救援医学》2024年第10期1131-1133,共3页Chinese Journal of Disaster Medicine

基　　金：贵州省中医药管理局中医药、民族医药科学技术研究专项课题(QZYY-2018-021)。

摘　　要：目的分析对于消化道肿瘤所导致的上消化道出血患者,采取急诊内镜诊治的临床价值。方法回顾性分析2021年1月至2023年12月在沿河县人民医院就诊的98例消化道肿瘤伴上消化道出血患者的临床资料,根据治疗路径的不同分为观察组(24h内急诊内镜诊治)和对照组(24h后行内镜诊治),每组各49例。结果观察组患者临床止血有效率为97.96%,显著高于对照组患者的81.63%(P<0.05)。观察组患者的病因检出率为91.84%,显著高于对照组患者的63.27%(P<0.05)。观察组患者止血所需时间显著短于对照组患者(P<0.001)。观察组患者的不良反应发生率为6.12%,显著低于对照组患者的20.41%(P<0.05)。结论对消化道肿瘤所致上消化道出血患者尽早采取急诊内镜治疗,不仅能提高止血有效率、病因检出率,还可有效缩短止血所需时间,减少不良反应发生风险。Objective To analyze the clinical value of emergency endoscopic diagnosis and treatment for patients with upper gastrointestinal bleeding caused by gastrointestinal tumors.Methods A retrospective analysis was conducted on the clinical data of 98 patients with gastrointestinal tumors and upper gastrointestinal bleeding who were treated at Yanhe County People’s Hospital from January 2021 to December 2023.Based on the treatment approach,patients were divided into an observation group(emergency endoscopic treatment,n=49)and a control group(non-emergency endoscopic treatment,n=49).Results The clinical hemostasis efficacy rate in the observation group was 97.96%,which was significantly higher than the 81.63%observed in the control group(P<0.05).The etiology detection rate in the observation group was 91.84%,significantly higher than the 63.27%observed in the control group(P<0.05).The time required for hemostasis was significantly shorter in the observation group compared to the control group(P<0.001).Additionally,the incidence of adverse reactions in the observation group was 6.12%,significantly lower than the 20.41%in the control group(P<0.05).Conclusion For patients with upper gastrointestinal bleeding due to gastrointestinal tumors,early implementation of emergency endoscopic treatment can not only improve hemostasis efficacy and etiology detection rates but also significantly reduce the time required for hemostasis and lower the risk of adverse reactions.

关 键 词：消化系统肿瘤 胃肠出血 止血 内窥镜 急诊处理 

分 类 号：R443[医药卫生—诊断学]