消化内镜在急性非静脉曲张性上消化道出血治疗中的应用价值

The Application of Endoscopy in the Treatment of Acute Non-variceal Upper Gastrointestinal Bleeding

目的探讨消化内镜技术在治疗急性非静脉曲张性上消化道出血的临床效果及安全性。方法收集2014年5月-2016年1月消化内科收治的急性非静脉曲张性上消化道出血的104例患者资料进行分析研究,根据不同的治疗方式分为治疗组和对照组,其中治疗组54例,对照组50例。所有患者入院后均采用常规的内科止血对症治疗,治疗组待生命体征平稳后给予消化内镜止血治疗。观察两组患者治疗后的效果、比较住院时间、肠鸣音由亢进转为正常的时间以及并发症发生率的情况。结果分析病例发现,经过内镜止血的治疗组患者的止血效果、安全性均优于常规治疗的对照组;住院时间及肠鸣音恢复正常时间均并发症发生率及死亡率明显低于对照组,治疗组住院时间、肠鸣音恢复正常时间、出血停止时间均少于对照组,差异有统计学意义(P<0.05)。结论内镜止血治疗技术应用于急性上消化道出血比常规止血治疗具有更显著的疗效及较高的安全性,值得临床一线的推广。

Objective To investigate the clinical effect and safety of the endoscopic technique in treating acute non-variceal upper gastrointestinal bleeding. Methods Collectted 104 cases of digestive internal medicine treated acute non-variceal upper gastrointestinal patients in May 2014 to January 2016,according to the different treatment were divided into treatment group and control group,54 cases in treatment group,50 cases in control group. All of the patients were treated with a routine internal medical therapy,and the treatment group was treated with endoscopic treatment after the vital signs were stable. Results The patients who had been treated with endoscopic hemostasis were superior to the control group. Conclusions Endoscopic hemostatic treatment technique is applied to acute non-variceal upper gastrointestinal bleeding is better than the routine hemostatic treatment,endoscopic treating has obvious curative effect and high safety,worth clinical promotion.