Study on effect of endoscopy on ulcerative upper gastrointestinal hemorrhage and changes of coagulation function indexes
Objective To investigate the clinical effect of digestive endoscopy in the treatment of hemorrhage gastroin-testinal upper ulcerative.Methods Sixty-two patients with ulcerative upper digestive tract hemorrhage treated in our hospital from June 2020 to January 2023 were selected.According to different treatment methods,31 patients treated with drugs were taken as the control group,and 31 patients treated with digestive endoscopy were taken as the observa-tion group.The changes of relevant therapeutic indexes,coagulation function indexes before and after treatment,symp-tom improvement time after treatment,clinical effects and adverse reactions were compared.Results ① The blood transfusion volume,hemostatic time and hospital stay of the observation group were(384.88±38.65)mL,(10.38± 2.47)h and(9.32±1.03),which were shorter than those of the control group(P＜0.05).② The coagulation function indexes of the two groups were compared before treatment(P＞0.05).After treatment,the PT,TT and APTT of the observation group were(9.35±0.46)s,(12.86±0.91)s and(22.56±1.32)s,which were all shorter than those of the control group(P＜0.05),and the Fbg level of the observation group was(3.95±0.43)g/L.Lower than control group(P＜0.05);③ The statistical indexes of improvement time of clinical symptoms in observation group were(4.39±1.12)h,(27.79±5.93)h,(1.66±0.43)d and(2.85±0.67)d,which were shorter than those of control group(P＜0.05).(4)The total effective rate of observation group was 92.5％higher than that of con-trol group(75.00％)(P＜0.05).Conclusion Digestive endoscopy is the effective in treatment of gastrointestinal upper ulcerative bleeding,can improve effectively function of the coagulation system,shorten the time of hemostasis,hospital stay and symptom improvement.
Ulcerative upper gastrointestinal hemorrhageDigestive endoscopyLength of hospital stayHemostatic timeAdverse reactions
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