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

目的探讨内镜止血在急性非静脉曲张性上消化道出血(ANVU GIB)中的治疗价值。方法选择本院收治的108例ANVU GIB患者,以随机信封法分为对照组和治疗组,各54例。对照组采取常规内科止血疗法,治疗组在此基础上加用内镜止血治疗,比较两组临床效果。结果治疗组止血总有效率高于对照组,且肠鸣音恢复时间、住院时间、Rockall评分、再次出血率均优于对照组(P<0.05)。结论 ANVU GIB采取内镜治疗止血效果明显,且能减少再次出血率。

Objective To investigate the therapeutic value of endoscopic hemostasis on acute non-variceal upper gastrointestinal bleeding(ANVU GIB).Methods A total of 108 patients with ANVU GIB admitted in our hospital were selected,and randomly divided into control group and treatment group according to the random envelope method,with 54 cases in each group.The control group received routine medical hemostasis therapy.On the basis of this,the treatment group received endoscopic hemostasis treatment,the effects were compared between the two groups.Results The total effective rate of hemostasis in the treatment group was higher than that of the control group.The bowel sounds recovery time,hospital stay,Rockall score and rebleeding rate in the treatment group were better than those in the control group(P<0.05).Conclusion Endoscopic hemostasis in the treatment of ANVU GIB has obvious effects,and can reduce the rate of rebleeding.