胃镜治疗与内科治疗消化性溃疡出血的临床效果比较分析

Comparative Analysis of Clinical Effect of Gastroscopy and Internal Medicine in the Treatment of Peptic Ulcer Bleeding

目的比较胃镜治疗与内科治疗治疗消化性溃疡出血的临床效果,探讨消化性溃疡出血的最优治疗方式。方法选取我院2015年1月—2017年1月收治的90例消化性溃疡出血患者作为研究对象。在患者知情同意的前提下,根据不同治疗方法,将其分为两组。对照组给予内科治疗,观察组给予胃镜治疗,对比两组患者临床疗效。结果两组患者临床疗效(91.11%vs. 80.00%)对比,观察组高于对照组,差异具有统计学意义(χ~2=4.602 1,P <0.05)。观察组对治疗过程的满意度为84.44%(38/45),对照组患者对治疗过程的满意度为97.78%(44/45),观察组低于对照组,差异具有统计学意义(χ~2=5.274 0,P <0.05)。结论胃镜治疗与内科治疗治疗消化性溃疡出血的临床效果不同,胃镜治疗效果更佳,对于能够接受胃镜检查导致的痛苦患者,首选胃镜下治疗。

Objective To compare the clinical effects of gastroscopy and internal medicine in the treatment of peptic ulcer bleeding, and to explore the optimal treatment for peptic ulcer bleeding. Methods 90 patients with peptic ulcer bleeding admitted in our hospital from January 2015 to January 2017 were selected as the research subjects. Under the premise of informed consent, the patients were divided into two groups according to different treatment methods. The control group was given medical treatment. The observation group was treated with gastroscopy. The clinical effcacy of the two groups was compared. Results The clinical effcacy of the two groups were compared （91.11% vs. 80.00%）, the observation group was higher than the control group, the difference was statistically signifcant （χ^2=4.602 1, P 〈 0.05）. The satisfaction rate of the treatment group was 84.44% （38/45） in the observation group. The patients in the control group were satisfed with the treatment process 97.78% （44/45）. The observation group was lower than the control group, the difference was statistically signifcant （χ^2=5.274 0, P〈0.05）. Conclusion The clinical effect of gastroscopy and internal medicine treatment for peptic ulcer bleeding is different, and the effect of gastroscope is better. It is the frst choice of gastroscope for patients who can receive gastroscopy.