Study on the Effect of Gastrointestinal Endoscopic Surgery in the Treatment of Gastroduodenal Bleeding and its Impact on the Rate of Rebleeding
Objective:To observe the effect of endoscopic surgery on gastroduodenal bleeding and its impact on the rate of rebleeding in patients.Methods:128 patients with gastroduodenal bleeding who were treated in the hospital from January 2021 to June 2022 were selected as the study subjects.The enrolled patients were randomly divided into two groups by lotting.Among them,64 patients in the control group were treated with endoscopic injection,and 64 patients in the observation group were treated with endoscopic APC.The treatment status,clinical indicators,and improvement of coagulation function of the two groups were compared.All patients were followed up for half a year to compare the incidence of adverse events between the two groups.Results:The success rate of hemostasis in the observation group was higher than that in the control group,the rebleeding rate and the conversion rate to emergency treatment were lower than those in the control group(x2=4.167,9.191,7.603;P＜0.05).The bleeding volume,the blood transfusion volume,the hemostatic time and the hospital stay were lower than those in the control group(t=2.904,13.177,28.447,6.951;P＜0.05).After treatment,the D-D,the PT and the TT were lower than those in the control group(t=10.349,5.327,4.220;P＜0.05).The incidence of surgical related complications(7.81％)in the observation group was lower than that in the control group 18.75％(x2=5.196,P＜0.05).Conclusion:Gastroduodenal bleeding can be significantly treated with APC,which has a positive significance in reducing the risk of rebleeding,improving blood coagulation,and reducing the risk of surgical related complications.
Gastroduodenal bleedingDigestive endoscopy argon ion coagulationRebleeding rateCoagulation functionComplication
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