胃镜下止血治疗消化性溃疡合并急性上消化道出血的应用效果  

Application Effect of Gastroscopy Hemostasis in the Treatment of Peptic Ulcer Complicated with Acute Upper Gastrointestinal Bleeding

作　　者：叶建凡 YE Jianfan(Emergency Department of Yanshan Hospital of Traditional Chinese Medicine,Yanshan 334500,Jiangxi,China)

机构地区：[1]铅山县中医院急诊科,江西铅山334500

出　　处：《医学信息》2025年第9期141-144,共4页Journal of Medical Information

摘　　要：目的探究胃镜下止血治疗消化性溃疡合并急性上消化道出血的应用效果。方法选择2021年5月-2023年9月铅山县中医院诊治的65例消化性溃疡合并急性上消化道出血患者作为研究对象,按照随机数字表法将其分为对照组(n=33)和研究组(n=32)。对照组应用常规内科止血治疗,研究组采取胃镜下止血治疗。比较两组治疗总有效率、治疗指标(止血成功时间、住院时间)、空腹胃液pH值、不良反应(呕血、恶心、呕吐、腹胀、四肢无力)发生率。结果研究组治疗总有效率高于对照组(P<0.05)。研究组止血时间、住院时间均短于对照组(P<0.05)。治疗后24、48、72 h,两组空腹胃液pH值均高于治疗前,且研究组空腹胃液pH值均高于对照组(P<0.05)。研究组不良反应发生率低于对照组(P<0.05)。结论胃镜下止血治疗消化性溃疡合并急性上消化道出血的应用效果确切,可有效提高止血效果,缩短止血时间及住院时间,提高空腹胃液pH值,且不良反应少。Objective To explore the application effect of gastroscopy hemostasis in the treatment of peptic ulcer complicated with acute upper gastrointestinal bleeding.Methods According to random number table method,65 patients with peptic ulcer complicated with acute upper gastrointestinal bleeding diagnosed and treated in Yanshan County Hospital of Traditional Chinese Medicine from May 2021 to September 2023 were selected and divided into control group(n=33)and study group(n=32).In the control group,patients were treated with conventional medical hemostasis,while in the study group,patients were treated with endoscopic hemostasis.The total effective rate,treatment index(successful hemostasis time,hospitalization time),fasting gastric juice pH value,and incidence of adverse reactions(hematemesis,nausea,vomiting,abdominal distension,limb weakness)were compared between the two groups.Results In the study group,patients had higher the total effective rate of treatment than that in the control group(P<0.05).In the study group,patients had shorter the hemostasis time and hospitalization time than those of the control group(P<0.05).At 24,48 and 72 h after treatment,compared with before treatment,the pH values of fasting gastric juice in the two groups were higher,and compared with the control group,the pH values of fasting gastric juice in the study group were higher(P<0.05).In the study group,patients had lower the incidence of adverse reactions than that in the control group(P<0.05).Conclusion Endoscopic hemostasis is effective in the treatment of peptic ulcer complicated with acute upper gastrointestinal bleeding,which can effectively improve the hemostatic effect,shorten the hemostasis time and hospitalization time,improve the pH value of fasting gastric juice,and has fewer adverse reactions.

关 键 词：胃镜下止血 消化性溃疡 急性上消化道出血 

分 类 号：R573.2[医药卫生—消化系统] R573.1[医药卫生—内科学]