内镜下钛夹止血及注射止血治疗急性上消化道出血的效果

Efficacy of endoscopic titanium clip hemostasis and injection hemostasis on acute upper gastrointestinal bleeding

目的:探讨内镜下钛夹止血及注射止血治疗急性上消化道出血的效果。方法:抽取2017年12月至2019年8月河南科技大学第二附属医院收治的急性上消化道出血患者120例,依据止血方案分为两组,每组60例。观察组给予内镜下钛夹止血,对照组给予内镜下注射止血。回顾性比较两组止血效果及围术期指标。结果:观察组即时止血率(100.00%,60/60)高于对照组(90.00%,54/60),观察组72 h再出血率(3.33%,2/60)低于对照组(16.67%,10/60),P<0.05。治疗后,两组红细胞计数、血红蛋白水平较治疗前升高(P<0.05),且观察组相应值高于对照组(t=4.493、4.234,P=0.001、0.001)。观察组输血量、肠鸣音恢复时间、住院时间少于对照组(t=4.092、3.476、2.705,P<0.05)。观察组术后风险程度低于对照组(Z=3.387,P=0.001)。结论:相较于内镜下注射止血治疗急性上消化道出血,内镜下钛夹可即时止血,且72 h再出血率、术后风险程度较低。

Objective To investigate the efficacy of endoscopic titanium clip hemostasis and injection hemostasis on acute upper gastrointestinal bleeding.Methods A total of 120 patients with acute upper gastrointestinal hemorrhage admitted to the Second Affiliated Hospital of Henan University of Science and Technology from December 2017 to August 2019 were selected and divided into two groups according to the hemostasis options,with 60 cases in each group.The observation group was treated with endoscopic titanium clips hemostasis,and the control group was treated with endoscopic injections hemostasis.The hemostatic effect and perioperative indexes were retrospectively compared between the two groups.Results The immediate hemostatic rate(100.00%,60/60)of the observation group was higher than that(90.00%,54/60)of the control group,and the rebleeding rate(3.33%,2/60)of the observation group was lower than that(16.67%,10/60)of the control group within 72 hours,P<0.05.After treatment,the red blood cell count and hemoglobin levels of the two groups were higher than those before treatment(P<0.05),and the corresponding values of the observation group were higher than those of the control group(t=4.493,4.234,P=0.001,0.001).The blood transfusion,bowel sound recovery time,and hospital stay of the observation group were less than those of the control group(t=4.092,3.476,2.705,P<0.05).The postoperative risk of the observation group was lower than that of the control group(Z=3.387,P=0.001).Conclusions Compare with endoscopic injection hemostasis for acute upper gastrointestinal bleeding,the endoscopic titanium clip can stop bleeding immediately,and the rebleeding rate within 72 hours and the postoperative risk are lower.