多学科诊疗模式医疗整合对急性上消化道出血紧急救治的疗效研究

Efficacy of MDT for emergency treatment of acute upper gastrointestinal hemorrhage

目的:探究急诊科采用多学科诊疗模式(MDT)对急性上消化道出血(AUGIB)患者行紧急救治的临床效果。方法:选取我院2019年1月—2019年12月期间收治的90例AUGIB患者,随机分为观察组和对照组,每组45例。对照组给予常规急救处理,观察组应用MDT模式进行急救处理。比较两组患者临床疗效、诊断准确率、出血控制时间、输血量、再出血率、住院时间、住院费用、早期病死率及并发症发生率。结果:观察组临床总有效率与诊断准确率显著高于对照组,差异有统计学意义(P<0.05);观察组患者出血控制时间、输血量、再出血率、住院时间、住院费用、早期病死率及并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:急诊科采用MDT有利于提高AUGIB患者紧急救治的整体疗效,提升诊断准确率,并发症少且病死率低,减轻患者负担,建议推广应用。

Objective:To explore the clinical effect of emergency treatment for patients with acute upper gastrointestinal hemorrhage(AUGIB)using multidisciplinary diagnosis and treatment(MDT)in the emergency department.Methods:A total of 90 patients with AUGIB admitted to our hospital from January 2019 to December 2019 were randomly divided into observation group and control group,with 45 patients in each group.The control group was given routine emergency treatment,and the observation group was given MDT mode for emergency treatment.The clinical efficacy,diagnostic accuracy,bleeding control time,blood transfusion volume,rebleeding rate,length of stay,cost of stay,early mortality rate and incidence of complications were compared between the two groups.Results:The total clinical efficiency and diagnostic accuracy of the observation group were significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The bleeding control time,blood transfusion volume,rebleeding rate,length of stay,hospitalization cost,early mortality and complication rate of the observation group were all lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The adoption of MDT in the emergency department is conducive to improving the overall efficacy of emergency treatment for AUGIB patients,improving the diagnostic accuracy,reducing complications and mortality,and reducing the burden on patients.It is suggested to promote the application.