上消化道出血患者应用消化内镜治疗对住院时间及止血时间的改善探讨

Improvement of Hospitalization Time and Hemostasis Time in Patients with Upper Gastrointestinal Bleeding Treated with Digestive Endoscopy

目的:评估上消化道出血患者实施消化内镜治疗对住院时间及止血时间的改善情况。方法:选择2018年10月~2019年10月64例本医院诊治的上消化道出血患者纳入实验资料,以随机数字表法将患者分成参照组与实验组,每组各32例。分别行药物治疗、消化内镜治疗,对比两组治疗相关指标、治疗前后凝血功能指标、症状改善时长及临床效果情况。结果:①实验组输血量显著低于参照组,实验组止血时间、住院时间同参照组相比较短,数据具有统计学意义(P<0.05);②上消化道出血患者治疗前凝血功能指标未见显著统计学差异性(P>0.05)。实验组患者通过临床治疗后凝血酶原时间、凝血酶时间、活化部分凝血活酶时间短于参照组,较之于参照组,实验组治疗后纤维蛋白原较低,数据具有统计学意义(P<0.05);③实验组上消化道出血患者对比参照组患者呕血症状、胃镜可见症状、血性引流液症状、大便潜血症状改善时长指标较短,具有统计学差异(P<0.05);④实验组上消化道出血患者(93.75%)对比参照组患者(75.00%)临床疗效指标较高,具有统计学差异(P<0.05)。结论:上消化道出血患者行消化内镜治疗效果确切,能够有效缩短患者的住院及止血时间,改善其凝血系统功能,患者症状改善时间有所缩短。

Objective:To evaluate the improvement of hospitalization time and hemostasis time in patients with upper gastrointestinal bleeding treated by endoscopy Methods:64 patients with upper gastrointestinal bleeding diagnosed and treated in our hospital from October 2018 to October 2019 were selected to be included in the experimental data.The patients were divided into reference group and experimental group with 32 patients in each group by random number table method.They were treated with drug therapy and digestive endoscopy respectively,and the treatment related indicators,coagulation function indicators before and after treatment,duration of symptom improvement and clinical effects of the two groups were compared.Results:①The amount of blood transfusion in the experimental group was significantly lower than that in the reference group.The hemostatic time and hospitalization time in the experimental group were shorter than those in the reference group,and the data were statistically significant(P<0.05);②There was no significant difference in coagulation function indexes of patients with upper gastrointestinal hemorrhage before treatment(P>0.05).After clinical treatment,the prothrombin time,thrombin time and activated partial thromboplastin time of patients in the experimental group were shorter than those in the reference group,and the fibrinogen in the experimental group was lower than that in the reference group,with statistical significance(P<0.05);③The improvement time of hematemesis symptoms,gastroscopic symptoms,bloody drainage symptoms,and fecal occult blood symptoms in the experimental group was shorter than that in the control group(P<0.05);④Compared with the control group(75.00%),the patients in the experimental group(93.75%)with upper gastrointestinal bleeding had higher clinical efficacy indicators,with a statistical difference(P<0.05).Conclusion:The treatment of upper gastrointestinal bleeding with digestive endoscopy is effective,which can effectively shorten the hospitalization and hemostasis time of patients,improve the function of their coagulation system,and shorten the time for patients to improve their symptoms.