消化内镜下可旋转重复开闭软组织夹止血对上消化道出血患者的影响  

Effect of Rotatable Repetitively Open and Close Soft Tissue Clip Hemostasis under Digestive Endoscopy in Patients with Upper Gastrointestinal Bleeding

作　　者：王华秀[1] 陈丽玲 李夏薇 黄惠文 WANG Huaxiu;CHEN Liling;LI Xiawei;HUANG Huiwen(Jinjiang City Hospital,Jinjiang 362200,China;不详)

机构地区：[1]晋江市医院(上海市第六人民医院福建医院),福建晋江362200

出　　处：《中外医学研究》2024年第35期43-47,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨上消化道出血患者采用消化内镜下可旋转重复开闭软组织夹止血的效果。方法:将2020年6月—2023年6月晋江市医院收治的100例上消化道出血患者作为研究对象,根据止血夹的不同将患者分为两组,观察组50例采用可旋转重复开闭软组织夹,对照组50例采用金属钛夹。比较两组止血效果、血液指标、临床指标、并发症发生率、恢复情况。结果:观察组即时止血率为90.00%、止血有效率96.00%,高于对照组的74.00%、80.00%,观察组再出血率为2.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。治疗前,两组白蛋白(ALB)、血红蛋白浓度(HGB)、血小板(PLT)水平比较,差异无统计学意义(P>0.05);治疗后7 d,两组ALB、HGB、PLT水平较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组止血夹使用数量、输血量比对照组少,止血夹脱落时间比对照组短,差异有统计学意义(P<0.05)。观察组并发症发生率为4.00%,对照组并发症发生率为12.00%,两组比较差异无统计学意义(P>0.05)。两组呕血消失时间、大便潜血转阴时间、住院时间比较,差异无统计学意义(P>0.05)。结论:采用消化内镜下可旋转重复开闭软组织夹止血在上消化道出血患者消化内镜诊疗中,能够有效提高止血效果,并且有效改善出血情况,减少再出血的发生,具有较高的安全性。Objective:To investigate the effects of using rotatable repetitively open and close soft tissue clip hemostasis under gastrointestinal endoscopy in patients with upper gastrointestinal bleeding.Method:A total of 100 patients with upper gastrointestinal bleeding in Jinjiang City Hospital from June 2020 to June 2023 were taken as the study subjects,and according to the difference of hemostatic clips,the patients were divided into two group.The 50 cases in the observation group used rotatable repetitively open and close soft tissue clip hemostasis under gastrointestinal endoscopy,and 50 patients in the control group used metal titanium clips.The hemostatic effect,blood indexes,clinical indexes,complication rate,and recovery were compared between the two groups.Result:The immediate hemostasis rate of 90.00%and hemostatic efficiency of 96.00%in the observation group were higher than 74.00%and 80.00%in the control group,and the rebleeding rate of 2.00%in the observation group was lower than that of 18.00%in the control group,the differences were statistically significant(P<0.05).Before the treatment,the comparison of the albumin(ALB),hemoglobin concentration(HGB),platelets(PLT)levels of the two groups were not statistically significant(P>0.05);after 7 d of treatment,ALB,HGB,PLT levels in both groups increased compared with those before treatment,and the levels in the observation group were higher than those in the control group,the differences were significant(P<0.05).The number of hemostatic clips used and the amount of blood transfusion in the observation group were less than those in the control group,and the time for hemostatic clips to fall off was shorter than that in the control group,the differences were statistically significant(P<0.05).The rate of complications in the observation group was 4.00%,and the complication rate of the control group was 12.00%,and the difference between the two groups was not statistically significant(P>0.05).The time for the disappearance of vomiting blood,the time for the conversio

关 键 词：消化内镜 可旋转重复开闭软组织夹 止血 上消化道出血 止血效果 血红蛋白 

分 类 号：R47[医药卫生—护理学]