上消化道出血患者采取急诊消化内镜治疗的临床效果

Clinical Efficacy of Emergency Endoscopic Treatment for Upper Gastrointestinal Bleeding

目的分析上消化道出血患者应用急诊消化内镜治疗的有效性。方法选择屏南县医院内镜室在2019年1月至2024年1月就诊的50例急诊上消化道出血患者,根据治疗方式的不同分为两组,每组25例,保守组给予常规保守治疗,消化内镜组给予消化内镜治疗,监测两组止血时间、出血时间、住院时间、治疗总有效率、并发症发生率。结果止血时间、出血时间、住院时间相比,消化内镜组均短于保守组(均P<0.05)。消化内镜组的止血总有效率96.00%,高于保守组的72.00%(P<0.05)。消化内镜组的并发症发生率低于保守组(P<0.05)。结论上消化道出血患者应用急诊消化内镜治疗效果好,可以缩短止血时间、出血时间和住院时间,提高治疗效果,降低并发症发生率。

Objective To analyze the effectiveness of emergency gastrointestinal endoscopy treatment in patients with upper gastrointestinal bleeding.Methods Fifty patients with emergency upper gastrointestinal hemorrhage treated in the endoscopy room of Pingnan County Hospital from January 2019 to January 2024 were selected and divided into two groups according to different treatment methods:25 cases/group.The conservative group received conventional conservative treatment,while the digestive endoscopy group received digestive endoscopy.The hemostatic time,bleeding time,hospital stay,total effective treatment rate and complication rate of the two groups were monitored.Results The hemostatic time,bleeding time and hospital stay in the digestive endoscopy group were shorter than those in the conservative group(all P<0.05).The total effective rate of digestive endoscopy group was 96.00%,which was higher than that of conservative group(P<0.05).The complication rate of digestive endoscopy group was lower than that of conservative group(P<0.05).Conclusions The application of emergency gastrointestinal endoscopy in patients with upper gastrointestinal bleeding is effective,which can shorten the hemostasis time,bleeding time and hospital stay,improve the treatment effect and reduce the complication rate.