126例急性上消化道出血内窥镜治疗的疗效分析

The Clinic Outcome and Complication of Upper Gastrointestinal Bleeding Using Endoscopic Hemostasis in 126 Cases

目的 探讨消化内窥镜治疗非曲张性上消化道出血的临床效果及并发症.方法 回顾性选取内镜下止血治疗非曲张性上消化道出血126例作为治疗组,以同期采用保守治疗（8 mg去甲肾上腺素及云南白药4 g加水100 mL口服,1次/小时）56例患者作为对照组,比较并分析两组的疗效及并发症.结果 内镜止血疗效整体优于保守治疗（P＝0.017）,但再出血发生率间差异无显著性（P＝0.514）.选择在内镜治疗后不同时间点1～2周、1个月、3个月进行体查加内镜复查,所有患者治疗后未见穿孔、狭窄、血管栓塞等严重并发症.结论 内镜下治疗急性非曲张性上消化道出血,安全、方便、微创,能极大地减低外科急诊手术率.

Objective To evaluate the clinic outcome and complication of non-variceal upper gastrointestinal bleed- ing using endoscopic hemostasis. Methods 126 non-variceal upper gastrointestinal bleeding patients were selected as treatment group using endoscopic hemostasis,56 synchronization patients were selected as control group using conservative treatment, and the clinical outcome and complication were evaluated. Results Endoscopic hemostasis showed more sig- nificant advantages in treating non-variceal upper gastrointestinal bleeding than conservative treatment, without different rates of complication. Conclusion Endoscopic hemostasis possesses the advantages including safety, convenience, mini- iniurv and greatly reducing the emergency surgery operation rate.