胃镜下不同止血方式(2种)对急性非静脉曲张上消化道出血疗效分析

Effect of Different Hemostasis Methods(2 Kinds)on Acute Non-Varicose Upper Gastrointestinal Bleeding Under Gastroscopy

目的:对比胃镜下2种不同止血方式对急性非静脉曲张上消化道出血的疗效。方法:选取2019年3月~2021年3月在本院治疗的86例急性非静脉曲张上消化道出血患者,采取随机数字表法,将其分为两组。对照组43例,采取胃镜下药物注射治疗;观察组43例,采取金属钛夹止血治疗。结果:观察组患者的止血有效率为97.67%,明显高于对照组的76.74%,差异明显(P<0.05)。两组患者的即刻止血率、再出血率无明显差异(P>0.05);观察组、对照组患者的不良反应率分别为27.91%、37.21%,无明显差异(P>0.05)。结论:胃镜下药物注射、金属钛夹止血均能够达到良好的止血效果,安全性相当,但金属钛夹止血的止血效果更佳,具有一定优势。

Objective:To compare the effects of two different hemostatic methods under gastroscope on acute non variceal upper gastrointestinal bleeding.Methods:86 patients with acute non variceal upper gastrointestinal bleeding treated in our hospital from March 2019 to March 2021 were randomly divided into two groups.43 cases in the control group were treated with drug injection under gastroscope;43 cases in the observation group were treated with metal titanium clip.Results:The effective rate of hemostasis in observation group was 97.67%,which was significantly higher than that in control group(76.74%),the difference was significant(P<0.05).There were no significant differences in immediate hemostasis rate and rebleeding rate between two groups(P>0.05).The adverse reaction rates of observation group and control group were 27.91%and 37.21%,respectively,and there was no significant difference(P>0.05).Conclusion:Both drug injection and titanium clip hemostasis under gastroscopy can achieve good hemostasis effect with similar safety,but titanium clip hemostasis effect is better and has certain advantages.