优化抢救模式对UGIB患者的疗效及对其血流动力学和血气指标等的影响分析

Analysis on the effect of optimized rescue mode on UGIB patients and its influence on hemodynamics and blood gas indexes

目的探讨优化抢救模式对急性上消化道出血(upper gastrointestinal bleeding,UGIB)患者的疗效及对其血流动力学和血气指标等的影响。方法选取2017年8月-2019年1月江苏省海安市人民医院急诊科UGIB患者106例,根据急救模式分为研究组及对照组,其中研究组采用优化抢救模式,而对照组则采用常规抢救模式,比较两组患者的临床疗效等差异。结果研究组患者的临床相关指标均优于对照组患者(P<0.05);抢救后研究组的血流动力学指标比对照组明显改善(P<0.05);抢救后两组患者的血气相关指标均较抢救前有所改善(P<0.05),同时抢救后,除动脉血二氧化碳分压外,研究组的其他血气指标比对照组明显改善(P<0.05);抢救后,研究组患者的抢救结局较对照组好(P<0.05)。结论优化抢救模式对UGIB患者的疗效更佳,同时还可改善患者的血流动力学及血气情况,最终有利于患者预后,值得临床推广应用。

Objective To investigate the effect of optimized rescue mode on upper gastrointestinal bleeding(UGIB)pa‐tients and its influence on hemodynamics and blood gas indexes.Methods 106 patients with UGIB in the emergency department of Hai'an People's Hospital of Jiangsu Province from August 2017 to January 2019 were selected and divid‐ed into study group and control group according to the first aid mode.The study group adopted the optimized rescue mode,while the control group adopted the conventional rescue mode.The clinical therapeutic effects of the two groups were compared.Results The clinical related indexes in the study group were better than those in the control group(P<0.05);After rescue,the hemodynamic indexes in the study group were significantly better than those in the control group(P<0.05);After rescue,the blood gas related indexes of the two groups were improved compared with those before rescue(P<0.05).At the same time,other blood gas indexes in the study group were significantly improved compared with those in the control group(P<0.05);After rescue,the rescue outcome of patients in the study group was better than that in the control group(P<0.05).Conclusion The optimized rescue mode has better curative effect on UGIB patients,can also improve the hemodynamics and blood gas of patients,and is ultimately conducive to the prognosis of patients,which is worthy of clinical application.