内镜止血对急性非静脉曲张性上消化道出血患者的临床治疗价值

Clinical Value of Endoscopic Hemostasis in Patients with Acute Non Variceal Upper Gastrointestinal Bleeding

目的:对比分析内镜止血对急性非静脉曲张性上消化道出血患者的临床治疗价值。方法:将100例患者分为观察组和对照组,分别接受内镜止血和常规止血治疗。比对两组患者自进入医院开始直至停止出血的时间、治疗期间出血总量、住院时长三项指标;比对两组患者止血成功率和出血复发率;分别在治疗前后比对两组患者的血红蛋白、血氧饱和度、氧分压三项指标。结果:①观察组患者的出血停止时间间隔、出血总量、住院总时长三项指标具体值均低于对照组,P值均<0.05;②观察组患者止血成功率高于对照组,再次出血发生率低于对照组,P值均<0.05;③治疗前,两组患者血红蛋白等三项指标具体值均无显著差异,P值均>0.05;治疗后,两组血红蛋白等三项指标均有所提升,但观察组每项提升幅度均超过对照组,P值均<0.05。结论:内镜止血应用于急性非静脉曲张性上消化道出血患者时,可有效缩短止血时间、降低治疗期间出血总量、减少患者住院时长。此外,基于此种治疗方式,患者止血成功率更高、出血复发率更低,术后血红蛋白等指标水平更趋近于正常值。

Objective:To compare and analyze the clinical value of endoscopic hemostasis in patients with acute non variceal upper gastrointestinal bleeding.Methods:100 patients were divided into observation group and control group.The bleeding time,total amount of bleeding and length of hospital stay were compared between the two groups;The success rate of hemostasis and recurrence rate of bleeding were compared between the two groups;The hemoglobin,oxygen saturation and oxygen partial pressure of the two groups were compared before and after treatment.Results:①The specific values of bleeding stop time interval,total amount of bleeding and total length of hospitalization in the observation group were lower than those in the control group(P<0.05);②The success rate of hemostasis in the observation group was higher than that in the control group,and the incidence of rebleeding in the observation group was lower than that in the control group,P<0.05;③Before treatment,there was no significant difference in the specific values of hemoglobin and other three indexes between the two groups(P>0.05);After treatment,the hemoglobin and other three indexes in the two groups were improved,but the improvement range of each index in the observation group was higher than that in the control group(P<0.05).Conclusion:Endoscopic hemostasis for patients with acute non variceal upper gastrointestinal bleeding can effectively shorten the hemostasis time,reduce the total amount of bleeding during treatment,and reduce the length of hospital stay.In addition,based on this treatment,patients with higher success rate of hemostasis,lower recurrence rate of bleeding,postoperative hemoglobin and other indicators are closer to normal.