老年人上消化道出血的急诊胃镜治疗分析

Analysis of emergency endoscopic treatment for elderly upper gastrointestinal bleeding

目的探讨对老年上消化道出血患者行急诊胃镜的疗效。方法以老年上消化道出血患者42例为治疗组,在胃镜下根据出血情况采用套扎止血、药物喷洒、金属钛夹等方法止血。以同期收治的不愿接受胃镜治疗的老年上消化道出血患者40例为对照组,采用内科传统治疗方法。结果治疗组中37例止血成功,5例止血失败而行手术治疗,胃镜下止血成功率88.10%;对照组27例止血成功,13例行手术治疗,内科止血成功率67.50%。治疗组止血成功率较对照组高,经χ2检验,差异具有统计学意义(P<0.05)。结论针对老年人上消化道出血患者,急诊胃镜下止血效果好。

Objective To evaluate the efficacy of emergency endoscopic treatment for elderly upper gastrointestinal bleeding.Methods 42 cases of elderly upper gastrointestinal bleeding in our hospital were as the therapeutic group.The therapeutic group was given ligation,drug spraying and metal titanium clips according to the bleeding state in emergency endoscopy for stopping bleeding.Other 40 cases of elderly upper gastrointestinal bleeding without endoscopy were as the control group at the same period.The control group was given the conventional medical treatment.Results In the therapeutic group,37 cases were succeeded in emergency endoscopy for stopping bleeding.5 cases failed and accepted operation.The successful rate was 88.10%.In the control group,27 cases were succeeded after the conventional medical treatment.13 cases failed and accepted operation.The successful rate was 67.50%.The successful rate in the therapeutic group was higher than that in the control group with statistical difference（Chi-square test,P〈0.05）.Conclusion The emergency endoscopy has good effect for treating the elderly upper gastrointestinal bleeding.