急性非静脉曲张性上消化道出血治疗中内镜止血的应用价值
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摘要
目的探讨急性非静脉曲张性上消化道出血治疗中内镜止血的应用价值。方法选取本院2016年1月至2017年12月收治的急性非静脉曲张性上消化道出血患者100例,将其根据随机数字表法分为两组,对照组用常规内科止血治疗,观察组用常规内科止血+内镜止血治疗;将两组患者出血停止时间及肠鸣音恢复时间、住院时间等数值详细统计并记录,并计算出两组临床治疗总有效率及即时出血率、72 h后再出血率,整理所获各项临床数据后作对比分析。结果观察组患者出血停止(2±1)d及肠鸣音恢复(2±0)d、住院时间(6±1)d均比对照组(3±0)d、(5±1)d、(12±2)d短,比较差异有统计学意义(P<0.05);观察组患者临床治疗总有效率98.0%比对照组78.0%高,比较差异有统计学意义(P<0.05);观察组患者即时止血率100.0%比对照组70.0%高、72 h后再出血率2.0%比对照组32.0%低,比较差异有统计学意义(P<0.05)。结论急性非静脉曲张性上消化道出血患者接受常规内科止血联合内镜止血治疗的效果更佳。
Objective To investigate the value of endoscopic hemostasis in the treatment of acute non-variceal upper gastrointestinal hemorrhage. Methods 100 patients with acute non-variceal upper gastrointestinal bleeding admitted to our hospital from January 2016 to December 2017 were enrolled in the study. The patients were divided into two groups according to the random number table method: control group With conventional medical hemostasis treatment, the observation group was treated with conventional medical hemostasis + endoscopic hemostasis; the bleeding stop time, recovery time of bowel sounds, hospitalization time and other values were recorded and recorded in detail, and the two groups of clinical treatments were calculated. Efficiency and immediate bleeding rate, re-bleeding rate after 72 h, and collated the clinical data obtained for comparative analysis. Results In the observation group, the bleeding stopped(2±1)d days and the bowel sounds recovered(2±0)d, the hospital stay time(6±1)d were all compared with the control group(3±0)d,(5±1)d,(12±2)d is short, the difference is statistically significant(P<0.05); the total effective rate of clinical treatment in the observation group is 98.0% higher than the control group 78.0%, the difference is statistically significant(P<0.05); the immediate hemostasis rate of the observation group was 100.0% higher than that of the control group 70.0%, and the rebleeding rate of 2.0% after 72 hwas lower than the control group 32.0%, the difference was statistically significant(P<0.05). Conclusion Patients with acute non-variceal upper gastrointestinal hemorrhage have better results with conventional medical hemostasis combined with endoscopic hemostasis.
Objective To investigate the value of endoscopic hemostasis in the treatment of acute non-variceal upper gastrointestinal hemorrhage. Methods 100 patients with acute non-variceal upper gastrointestinal bleeding admitted to our hospital from January 2016 to December 2017 were enrolled in the study. The patients were divided into two groups according to the random number table method: control group With conventional medical hemostasis treatment, the observation group was treated with conventional medical hemostasis + endoscopic hemostasis; the bleeding stop time, recovery time of bowel sounds, hospitalization time and other values were recorded and recorded in detail, and the two groups of clinical treatments were calculated. Efficiency and immediate bleeding rate, re-bleeding rate after 72 h, and collated the clinical data obtained for comparative analysis. Results In the observation group, the bleeding stopped(2±1)d days and the bowel sounds recovered(2±0)d, the hospital stay time(6±1)d were all compared with the control group(3±0)d,(5±1)d,(12±2)d is short, the difference is statistically significant(P<0.05); the total effective rate of clinical treatment in the observation group is 98.0% higher than the control group 78.0%, the difference is statistically significant(P<0.05); the immediate hemostasis rate of the observation group was 100.0% higher than that of the control group 70.0%, and the rebleeding rate of 2.0% after 72 hwas lower than the control group 32.0%, the difference was statistically significant(P<0.05). Conclusion Patients with acute non-variceal upper gastrointestinal hemorrhage have better results with conventional medical hemostasis combined with endoscopic hemostasis.
引文
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[5]刘翼,祝琳.内镜止血在急性非静脉曲张性上消化道出血治疗中的临床价值评价[J].世界最新医学信息文摘,2016,16(7):18-19.
[6]颜朝晖,张德勇,陶希昆.内镜止血在急性非静脉曲张性上消化道出血治疗中的临床价值[J].中国医学工程,2015,23(11):114-115.
[7] Ogasawara N, Mizuno M, Masui R, et al. Predictivefactors for intractability to endoscopic hemostasisin the treatment of bleeding gastroduodenal pepticulcers in Japanese patients[J]. Clin E ndosc, 2014,47(2):162-173.
[8]李宁,胡慧珍,李玉.急性非静脉曲张性上消化道出血患者应用内镜止血治疗的临床效果评价[J].中国现代药物应用,2015,9(2):70-71.
[9] Rana SS, Singhal M, Sharm A, et al. Successful hemo-stasis of arterial bleeding in chronic pseudocystby direct endoscopic injection of N-butyl-2-cyanoac-rylate in the pseudoaneurysm[J]. Gastrointest En-dosc, 2015,81(4):1046-1047.
[10]梁冬红,车筑平,许良璧.急性非静脉曲张性上消化道出血内镜下治疗失败的危险因素[J].世界华人消化杂志,2014,22(11):1547-1551.
[2]张中极.内镜止血在急性非静脉曲张性上消化道出血治疗中的应用价值研究[J].临床合理用药杂志,2017,10(28):125-126.
[3]黄文忠.消化内镜在急性非静脉曲张性上消化道出血治疗中的应用价值[J].航空航天医学杂志,2017,28(9):1041-1043.
[4]邹友玲.急性非静脉曲张性上消化道出血内镜止血的效果观察[J].临床合理用药杂志,2017,10(10):22-23.
[5]刘翼,祝琳.内镜止血在急性非静脉曲张性上消化道出血治疗中的临床价值评价[J].世界最新医学信息文摘,2016,16(7):18-19.
[6]颜朝晖,张德勇,陶希昆.内镜止血在急性非静脉曲张性上消化道出血治疗中的临床价值[J].中国医学工程,2015,23(11):114-115.
[7] Ogasawara N, Mizuno M, Masui R, et al. Predictivefactors for intractability to endoscopic hemostasisin the treatment of bleeding gastroduodenal pepticulcers in Japanese patients[J]. Clin E ndosc, 2014,47(2):162-173.
[8]李宁,胡慧珍,李玉.急性非静脉曲张性上消化道出血患者应用内镜止血治疗的临床效果评价[J].中国现代药物应用,2015,9(2):70-71.
[9] Rana SS, Singhal M, Sharm A, et al. Successful hemo-stasis of arterial bleeding in chronic pseudocystby direct endoscopic injection of N-butyl-2-cyanoac-rylate in the pseudoaneurysm[J]. Gastrointest En-dosc, 2015,81(4):1046-1047.
[10]梁冬红,车筑平,许良璧.急性非静脉曲张性上消化道出血内镜下治疗失败的危险因素[J].世界华人消化杂志,2014,22(11):1547-1551.