急诊胃镜及胃镜下治疗在上消化道出血中的诊疗价值

The Value of Emergency Gastroscopy and Treatment under Gastroscope in the Diagnosis and Treatment of Upper Gastrointestinal Bleeding

目的分析急诊胃镜及胃镜下治疗在上消化道出血中的诊疗价值。方法收集2013年3月—2014年3月该院收治的120例上消化道出血患者临床资料,以1 d为界限,将24 h内接受诊断和治疗的原则,将患者分为急诊组与对照组,每组均为60例。急诊组患者采取急诊胃镜及胃镜下治疗,对照组患者采取普通胃镜诊治,最后分析两组患者的临床诊治效果。结果急诊组患者确诊率为95.00%,明显高于对照组的81.67%,差异有统计学意义(P<0.05)。急诊组患者止血时间明显短于对照组,差异有统计学意义(P<0.05)。急诊组患者住院时间、输血量明显少于对照组,差异有统计学意义(P<0.05)。结论急诊胃镜及胃镜下治疗上消化道出血,确保较高的确诊率,缩短止血时间,降低输血量,切实保证患者身心安全,值得临床推广。

Objective To analyze the value of emergency gastroseopy and treatment under gastroscope in the diagnosis and treatment of upper gastrointestinal bleeding. Methods The clinical data of 120 cases with upper gastrointestinal bleeding admitted in our hospital from March 2013 to March 2014 were selected. And the patients were divided into the emergency group and control group based on ld line, will endorse the principle of diagnosis and treatment within 24h, with 60 eases in each. Patients in the emergency group were given the emergency gastroscopy and treatment under gastroscope, and patients in the control group were given the normal gastroscope diagnosis and treatment. And the clinical diagnosis and treatment effect of the two groups were analyzed. Results The diagnosis rate of the emergency group was 95.00%, significantly higher than 81.67% of the control group, the difference was statistically significant （P〈0.05）. The hemostatic time of the emergency group was obviously shorter than that of the control group, the difference was statistically significant （P〈0.05）. The length of stay, blood transfusion amount of the emergeney group were obviously less than those of the control group, the difference was statistically signifieant （P〈0.05）. Conclusion For upper gastrointestinal bleeding, emergeney gastroseopy and treatment under gastroscope can ensure higher diagnosis rate, shorten the hemostatic time, reduce the amount of blood transfusion, firmly guarantee the safety of body and mind of the patients, so they are worth clinical promotion.