内镜止血在急性非静脉曲张性上消化道出血治疗中的应用价值

Application value of endoscopic hemostasis in the treatment of acute non-variceal upper gastrointestinal bleeding

目的探究内镜止血在急性非静脉曲张性上消化道出血治疗中的应用价值。方法本研究选取我院2014年3月至2015年6月医治的急性非静脉曲张性上消化道出血患者60例为研究对象,将患者随机分为对照组和试验组,每组30例,其中对照组患者进行传统的内科止血治疗,而试验组患者进行内镜止血治疗。治疗结束后,观察两组患者的止血情况。结果对照组30例患者中,23例患者止血成功,有7例患者出现了再出血,止血成功率为76.7%,再出血率为23.3%;而试验组30例患者中,29例患者止血成功,有1例患者出现了再出血情况,止血成功率为96.7%,再出血率为3.3%。试验组患者的止血成功率显著高于对照组,而再出血率明显低于对照组(P<0.05);与对照组患者相比,试验组患者的出血时间和住院时间更短(P<0.05)。结论临床对急性非静脉曲张性上消化道出血患者的治疗中,采用内镜止血治疗,能显著改善患者的出血情况,缩短患者的出血时间和住院时间,是一种安全有效的止血方式。

Objective To evaluate the application value of endoscopic hemostasis in the treatment of acute non-variceal upper gastrointestinal bleeding. Methods A total of 60 patients with acute non-variceal upper gastrointestinal hemorrhage bleeding treated in our hospital from March 2014 to June 2015 were randomly divided into control group and experimental group. Patients in the control group were treated with conventional medical hemostasis, while those in the experimental group underwent endoscopic hemostasis. At the end of treatment, hemostasis effects were observed in both groups. Results After treatment, of the 30 patients in the control group, 23 patients had successful hemostasis, and 7 patients developed rebleeding, the hemostatic rate was 76.7%, and the rebleeding rate was 23.3%. Of the 30 patients in the experimental group, 29 patients had successful hemostasis, and 1 patients experienced rebleeding,the rate of hemostasis was 96.7%, and the rebleeding rate was 3.3%. The hemostasis rate of the experimental group was significantly higher than that of the control group, while the rate of rebleeding was lower than that of the control group （P〈0.05）. The bleeding time and length of stay in the experimental group were shorter than those in the control group （P〈0.05）. Conclusion Endoscopic hemostasis therapy can significantly improve the bleeding and reduce the bleeding time and length of hospital stay on acute non-variceal upper gastrointestinal hemorrhage. It is a safe and effective hemostasis method with significant curative effect.