急诊胃镜诊治老年上消化道出血患者的临床价值体会

Clinical Value of Emergency Gastroscopy in the Diagnosis and Treatment of Elderly Patients with Upper Gastrointestinal Bleeding

目的:评估老年上消化道出血患者实施急诊胃镜诊治的临床价值。方法:选择66例本院诊治的老年上消化道出血患者纳入实验资料,抽取时间为2018年11月~2019年11月,以抽签法将患者分成参照组与实验组,每组各33例。分别行常规内科治疗、急诊胃镜诊治,对比两组治疗前后炎性因子指标、临床效果、治疗前后生化指标等。结果:①老年上消化道出血患者治疗前炎性因子指标具有一致性,实验组治疗后白介素2高于参照组;较之于参照组,实验组治疗后白介素6、肿瘤坏死因子α较低,具有统计学意义(P<0.05);②实验组老年上消化道出血患者临床效果(97.06%)高于参照组(79.41%),具有统计学意义(P<0.05);③老年上消化道出血患者治疗前后生化指标无组间统计学差异性(P>0.05)。实验组老年上消化道出血患者对比参照组患者D二聚体、天冬氨酸氨基转移酶、皮质醇较低、白蛋白统计指标较高,具有统计学差异性(P<0.05);④实验组老年上消化道出血患者对比参照组患者止血时间、住院时间较短、输血量统计指标较低,具有统计学差异性(P<0.05)。结论:老年上消化道出血患者行急诊胃镜诊治效果显著,能够改善其炎性因子指标,缩短患者止血时间,调节患者的生化指标水平。

Objective:To evaluate the clinical value of emergency gastroscopy in elderly patients with upper gastrointestinal bleeding.Methods:66 elderly patients with upper gastrointestinal bleeding treated in our hospital were selected and included in the experimental data.The extraction time was from November 2018 to November 2019.The patients were divided into the reference group and the experimental group by lot,with 33 cases in each group.Routine medical treatment and emergency gastroscopy were performed respectively,and the inflammatory factor indexes,clinical effects,biochemical indexes before and after treatment were compared between the two groups.Results:①The inflammatory factor indexes in the elderly patients with upper gastrointestinal bleeding before treatment were consistent,and the interleukin-2 in the experimental group was higher than that in the reference group after treatment;Compared with the reference group,the experimental group had lower levels of interleukin-6 and tumor necrosis factor-αafter treatment,with statistical significance(P<0.05);②The clinical effect of elderly patients with upper gastrointestinal bleeding in the experimental group(97.06%)was higher than that in the reference group(79.41%),which was statistically significant(P<0.05);③There was no significant difference in biochemical indexes between the elderly patients with upper gastrointestinal bleeding before and after treatment(P>0.05).Compared with the elderly patients with upper gastrointestinal bleeding in the experimental group,the patients in the reference group had lower D dimer,aspartate aminotransferase,cortisol and higher albumin statistical indicators,with statistical differences(P<0.05);④Compared with the control group,the elderly patients with upper gastrointestinal bleeding in the experimental group had shorter hemostasis time,shorter hospitalization time and lower statistical indicators of blood transfusion volume,with statistical differences(P<0.05).Conclusion:The effect of emergency gastroscopy in elderly patients with upper gastrointestinal bleeding is significant,which can improve the indicators of inflammatory factors,shorten the hemostasis time of patients,and adjust the level of biochemical indicators of patients.