胃镜治疗消化性溃疡合并急性上消化道出血的临床效果

Clinical effect of gastroscopy in the treatment of peptic ulcer complicated with acute upper gastrointestinal bleeding

目的 探讨消化性溃疡合并急性上消化道出血患者应用胃镜治疗的临床效果。方法 98例消化性溃疡合并急性上消化道出血患者,依照抽签法随机分成研究组以及对照组,每组49例。对照组患者采用常规治疗,研究组患者在对照组的基础上使用胃镜治疗。对比两组患者的治疗效果、不良反应发生率、住院时间。结果 研究组患者的临床治疗总有效率95.92%高于对照组的75.51%,差异具有统计学意义(P<0.05)。研究组患者的不良反应发生率为4.08%(2/49),显著低于对照组的24.49%(12/49),差异具有统计学意义(P<0.05)。研究组患者的住院时间为(5.17±1.59)d,短于对照组的(7.54±1.38)d,差异具有统计学意义(P<0.05)。结论 胃镜治疗消化性溃疡合并急性上消化道出血能够有效改善患者的相关临床症状,而且具备良好的止血效果,对于缩短患者住院时间以及提升临床治疗效果作用显著。

Objective To discuss the clinical effect of gastroscopy in the treatment of peptic ulcer complicated with acute upper gastrointestinal bleeding. Methods A total of 98 patients with peptic ulcer and acute upper gastrointestinal bleeding were randomly divided into research group and control group according to the lottery method, with 49 cases in each group. Patients in the control group were treated with conventional treatment,and patients in the research group were treated with gastroscope on the basis of the control group. The therapeutic effect, the incidence of adverse reactions, and hospitalization time were compared between the two groups.Results The total effective rate of clinical treatment 95.92% in the research group was higher than 75.51% in the control group, and the difference was statistically significant(P<0.05). The incidence of adverse reactions in the research group was 4.08%(2/49), which was significantly lower than 24.49%(12/49) in the control group, and the difference was statistically significant(P<0.05). The hospitalization time in the research group was(5.17±1.59) d,which was shorter than(7.54±1.38) d in the control group, and the difference was statistically significant(P<0.05).Conclusion Gastroscopy can effectively improve the clinical symptoms of patients with peptic ulcer combined with acute upper gastrointestinal bleeding, and has good hemostatic effect. It also plays a key role in shortening the hospitalization time and improving the clinical effect.