胃镜下两种不同止血方式对急性非静脉曲张上消化道出血的效果观察

Effect of Two Different Hemostasis Methods on Acute non-varicose Upper Gastrointestinal Bleeding Under Gastroscope

目的:评价急性非静脉曲张上消化道出血疾病行胃镜下不同止血方式的止血效果,以选择最佳止血方案。方法:选择本院收治行止血治疗的急性非静脉曲张上消化道出血患者(n=80),根据胃镜下止血方式不同进行随机分组(对照组、观察组),对照组40例患者行胃镜下药物注射止血,观察组40例患者行胃镜下钛夹止血,对比2组患者的止血效果、1周内再出血率。结果:急性非静脉曲张上消化道出血患者止血治疗后,观察组止血治疗总有效率高于对照组,且1周内再出血率明显低于对照组,观察指标差异显著(P<0.05)。结论:急性非静脉曲张上消化道出血患病率较高,尽早采取有效的止血治疗是保障患者安全性的关键。对比胃镜下药物注射止血治疗,钛夹止血方法止血效果好、再出血风险低,是急性非静脉曲张上消化道出血的优选止血方式。

Objective:To evaluate the hemostasis effect of different hemostasis methods under gastroscope for acute non-varicose upper gastrointestinal bleeding diseases,so as to select the best hemostasis scheme.Methods:Our hospital hemostatic therapy of acute the varices in patients with upper gastrointestinal hemorrhage(n=80),according to gastroscope hemostatic ways under different random group(control group and observation group)and control group 40 cases of patients with drug injection under gastroscope bleeding,observation group 40 cases with titanium clip hemostasis under gastroscope,the hemostatic effect of contrast 2 groups of patients,1 weeks bleeding rate again.Results:After hemostasis treatment,the total effective rate of hemostasis treatment in the observation group was higher than that in the control group,and the rate of rebleeding within 1 week was significantly lower than that in the control group,with significant differences in observation indicators(P<0.05).Conclusion:The incidence of acute non-varicose upper digestive tract bleeding is high.compared with the treatment of hemostasis by drug injection under gastroscope,the method of titanium clip hemostasis has good hemostasis effect and low risk of rebleeding,which is the preferred hemostasis method for acute non-varicose upper gastrointestinal bleeding.