急诊胃镜下止血治疗消化道溃疡出血

Emergency Endoscopic Hemostasis in Patients with Peptic Ulcer Hemorrhage

目的探讨急诊胃镜下止血治疗消化道溃疡出血的临床疗效。方法回顾性分析76例患者的临床资料,其中观察组36例,采用急诊胃镜下止血治疗,对照组40例,采用外科手术治疗,对两组的疗效进行比较分析。结果观察组显效32例,有效2例,无效2例,总有效率94.4%;对照组显效36例,有效2例,无效1例,死亡1例,总有效率为95%。两组的总有效率比较,差异无统计学意义(P>0.05)。观察组的大便潜血转阴时间、肠鸣音恢复正常时间及止血时间均少于对照组,差异均有统计学意义(P<0.05)。结论急诊胃镜下止血治疗是消化道溃疡出血的重要治疗方法,合理应用能有效控制出血症状、降低不良事件的发生率及病死率,提高患者的生存质量。

Objective To explore the emergency endoscopic hemostasis in patients with peptic ulcer hemorrhage. Methods A retrospective analysis was taken for the clinical data of 76 patients, including 36 cases in the observation group with emergency endoscopic hemostasis treatment, and 40 cases in the control group with surgical operation treatment. The effect of the two groups was comparatively analyzed. Results In the observation group, 32 cases were markedly effective, 2 cases were effective, 2 cases were invalid, with the total efficiency of 94.4%; in the control group, 36 cases were markedly effective, 2 cases were effective, one case was ineffective, and one case died, with the total efficiency of 95%. The total efficiency of the two groups had no statistically significant difference （P 〉0.05）. The observation group fecal occult blood clearance time, return of bowel sounds normal time and bleeding time were lower than those of the control group, with statistically significant difference （P 〈0.05）. Conclusion Emergency endoscopic hemostasis treatment is an important therapy for peptic ulcer bleeding method, which reasonable application can effectively control the bleeding symptoms, reduce the incidence of adverse events and mortality, and improve the quality of life.