消化内镜治疗上消化道出血患者临床效果观察  

Observation of the Clinical Effect of Digestive Endoscopy in the Treatment of Patients with Upper Gastrointestinal Bleeding

作　　者：武益含 WU Yihan(Endoscopy Center,Chaoyang Second Hospital,Chaoyang,Liaoning 122000,China)

机构地区：[1]朝阳市第二医院内镜中心,辽宁朝阳122000

出　　处：《中国医药指南》2025年第7期52-55,共4页Guide of China Medicine

摘　　要：目的 研究将消化内镜应用在上消化道出血患者治疗当中所发挥的治疗作用。方法 选择2024年1月至2024年8月到朝阳市第二医院接受治疗的160例上消化道出血患者采用随机抽签法分为观察组和对照组,均80例。对照组予以常规的药物治疗,观察组在对照组基础上联合消化内镜治疗。比较两组患者的临床疗效、治疗指标(出血量、止血时间、住院时间)、凝血四项(纤维蛋白原、活化部分凝血活酶时间、凝血酶时间、凝血酶原时间)、症状改善时间(呕血时间、血性引流液消失时间、大便潜血时间)等差异。结果 观察组的临床疗效优良率高于对照组(P <0.05)。观察组的出血量少于对照组,止血时间和住院时间均短于对照组(均P <0.05)。观察组的凝血四项均低于对照组,症状改善时间均短于对照组(均P <0.05)。结论 将消化内镜方案应用在上消化道出血患者的治疗之中可有效提升临床疗效,促进患者的康复,改善患者的程序指标,有助于促进患者的病症恢复。Objective To assess the efficacy of endoscopic intervention in managing patients with upper gastrointestinal hemorrhage.Methods Between January and August 2024,160 individuals presenting with upper gastrointestinal bleeding and admitted to Chaoyang Second Hospital were randomly assigned to either an observation or a control arm using a random draw method,with each arm comprising 80 patients.Patients in the control arm were administered conventional pharmacological therapy,whereas those in the observation arm received a combined therapy of digestive endoscopy in addition to the control arm’s treatment regimen.Comparison of the differences in clinical outcomes,treatment indicators(bleeding volume,haemostasis time,hospital stay),coagulation quartet(fibrinogen,activated partial thromboplastin time,prothrombin time,prothrombin time),and time to symptomatic improvement(time to vomiting of blood,disappearance time to bloody draining fluid,and time to fecal occult blood)between the two groups of patients.Results The excellent rate of clinical efficacy of the observation group was higher than that of the control group(P<0.05).The bleeding volume of the observation group was less than that of the control group,and the time of haemostasis and hospital stay were shorter than that of the control group(all P<0.05).In the observation group,all four items of coagulation were lower than those in the control group,and the time for symptom improvement was shorter than that in the control group(all P<0.05).Conclusions The application of endoscopic procedures in the treatment of patients with upper gastrointestinal bleeding markedly enhances treatment efficacy,speeds up patient recuperation,improves procedural results,and facilitates the restoration of patients’overall wellbeing.

关 键 词：消化内镜 上消化道出血 临床疗效 凝血指标 呕血 

分 类 号：R573.2[医药卫生—消化系统]