Clinical Characteristics and Endoscopic Analysis of Patients with Peptic Ulcer Accompanied by Bleeding
Objective To analyze the clinical and endoscopic characteristics of patients with peptic ulcer accompanied by bleeding.Methods A retrospective collection of data was conducted on 86 patients diagnosed with peptic ulcers and bleeding through endoscopic examination admitted to Luoyang Central Hospital Affiliated to Zhengzhou University from September 2018 to January 2023.And the data of 86 patients diagnosed with peptic ulcers without bleeding during the same period were collected.The clinical characteristics of the two groups were compared.The endoscopic features(Forrest classification)of patients with peptic ulcer complicated with bleeding were observed.The recent rebleeding of patients with different endoscopic features was compared.Results Patients with peptic ulcer bleeding had a higher proportion of alcohol consumption history,massive ulcers,and Helicobacter pylori(Hp)infection compared to patients without peptic ulcer bleeding(P＜0.05).Through endoscopic examination,it was found that among 86 patients with peptic ulcers and bleeding,34 cases were medium to high risk ulcers(Ⅰ a-Ⅱ b),accounting for 39.54％,and 52 cases were low risk ulcers(Ⅱ c-Ⅲ),accounting for 60.46％.The incidence of recurrent bleeding in medium to high risk ulcer patients was higher than that in low risk ulcer patientse(P＜0.05).Conclusion Patients with peptic ulcers and bleeding often have a history of alcohol consumption,large ulcers,and are often accompanied by Hp infection.Medium to high risk patients have a high risk of re-bleeding in the near future.Clinical attention should be paid to endoscopic examination of patients with peptic ulcers and bleeding,and prevention and treatment of re-bleeding should be done well for high-risk patients indicated by endoscopy.
peptic ulcerbleedingclinical characteristicsendoscopic features
万方数据
维普
