急性非静脉曲张性上消化道出血的急诊疗效观察

Observation on the Effect of Emergency Treatment on Acute Nonvariceal Upper Gastrointestinal Hemorrhage

目的观察急性非静脉曲张性上消化道出血的急诊疗效。方法选取我院2015年8月—2017年1月收治的急性非静脉曲张性上消化道出血患者100例作为研究对象。按照双盲方式,将其分为急诊组与非急诊组,每组各50例。两组患者均接受消化内镜检查,行内镜下肾上腺素注射止血治疗,非急诊组患者则多应用质子泵抑制剂及黏膜保护剂,比较两组患者的出血病因的诊断率以及止血效果。结果急诊组病因明确诊断率高于非急诊组,差异具有统计学意义(P<0.05)。两组即时止血率对比,差异无统计学意义(P>0.05)。两组患者的有效止血率、再出血率比较,差异均具有统计学意义(P<0.05)。结论尽管两组在止血率上无明显差异,但是通过急诊处理能够有效提高患者的诊断以及治疗效果,改善患者临床症状。

Objective To observe the emergency treatment of acute nonvariceal upper gastrointestinal bleeding. Methods 100 cases of acute nonvariceal upper gastrointestinal bleeding admitted to our hospital from August 2015 to January 2017 were selected as the study objects and were divided into emergency group and non-emergency group according to double-blind method, 50 cases in each group. Patients underwent nonemergency treatment with proton pump inhibitor and mucosal protective agent. Digestive endoscopy and endoscopic adrenaline injection were used to treat hemorrhage. The diagnostic rate of hemorrhage and hemostasis were compared between the two groups. Results The etiological diagnosis of emergency group was significantly higher than non-emergency group, the difference was statistically significant（P〈0.05）. There was no significant difference about the immediate hemostasis rate between the two groups（P〉0.05）. The effective hemostasis rate and rebleeding rate of the two groups were statistically significant（P〈0.05）. Conclusion Although there is no significant difference between the two groups in the rate of hemostasis, but emergency treatment can effectively improve the diagnosis and treatment of patients, and improve clinical symptoms.