急诊抢救室急性上消化道出血患者的临床特征分析

Clinical characteristics of patients with acute upper gastrointestinal bleeding in emergency room

目的:探究分析系统化的急诊抢救应用于急性上消化道出血患者中的效果。方法:选择2020年1月到2022年1月作为研究时间段,时间跨度2年,抽取期间本院急诊抢救室收治的急性上消化道出血患者合计80例纳入观察对象,随机将其均分为两组:对照组(n=40,开展常规门诊抢救工作)和实验组(n=40,给予系统化的门诊抢救),对比两组抢救效果。结果:实验组患者接受系统化的门诊抢救后,和对照组相比,平均止血时间更短,出血量、输血量更低、住院时间更短,炎性因子水平和凝血四项指标均得到了显著改善,且半年内的再出血发生率更低,差异存在统计学意义(p<0.05)。有部分患者在治疗期间出现不良反应,如胸痛、咽痛、呃逆、下呼吸道感染等,但经过临床处理后显著改善,差异无统计学意义(p>0.05)。结论:急性上消化道出血对抢救的要求较高,做好系统化的门诊抢救对于提高患者的止血效果、改善炎性因子水平、降低再出血率、保障后续的治疗和恢复具有重要意义,值得推广。

Objective:To explore and analyze the effect of systematic emergency rescue in patients with acute upper gastrointestinal bleeding.Methods:The period from January 2020 to January 2022 was selected as the study period,which lasted for two years.A total of 80 patients with acute upper gastrointestinal bleeding admitted in the emergency rescue room of our hospital were selected and included in the study.They were randomly divided into two groups:the control group(n=40,carrying out routine outpatient rescue work)and the experimental group(n=40,giving systematic outpatient rescue).The rescue effects of the two groups were compared.Results:After receiving systematic outpatient rescue,compared with the control group,the average hemostatic time of the patients in the experimental group was shorter,the amount of bleeding and blood transfusion was lower,the hospital stay was shorter,the level of inflammatory factors and the four indicators of blood coagulation were significantly improved,and the incidence of rebleeding within six months was lower,with a statistically significant difference(P<0.05).Some patients had adverse reactions during the treatment,such as chest pain,pharyngodynia,hiccup,lower respiratory tract infection,etc.,but after clinical treatment,they improved significantly,with no statistically significant difference(P<0.05).Conclusion:Acute upper gastrointestinal bleeding requires high rescue.Systematic outpatient rescue is of great significance to improve the hemostatic effect of patients,improve the level of inflammatory factors,reduce the rate of rebleeding,and ensure follow-up treatment and recovery,which is worth popularizing.