Discussion on the duration of fasting in patients with acute non varicose upper gastrointestinal bleeding
Objective To observe the effect of early oral feeding after hemostasis on clinical outcomes such as rebleeding in patients with acute non variceal upper gastrointestinal bleeding(ANVUGIB).Methods A total of 120 hospitalized patients with ANVUGIB from February 2020 to August 2023 were randomly divided into two groups.The early feeding group(n=60)resumed oral intake within 12 hours after endoscopic examination and hemostasis treatment,without experiencing frequent vomiting and maintaining stable hemodynamics.The conventional fasting group(n=60)fasted with water for 72 hours after hemostasis and received intravenous nutrition.Hospitalization time,rebleeding rate,and hospital mortality rate were compared between the two groups.Compare the levels of blood potassium(K+),blood sodium(Na+),hemoglobin(Hb),and albumin(Alb)between the two groups before and after treatment for 3 days.Results There was no statistically significant difference in age,gender,Forrest grading,bleeding site,and whether blood transfusion was performed between the two groups(P>0.05).There was no statistically significant difference in Hb,Alb,K+,Na+between the two groups before and 3 days after treatment(P>0.05).The average hospitalization time of the early eating group was(4.92±2.07)days,which was lower than the(6.15±2.83)days of the conventional fasting group.There was a statistically significant difference between the groups(t=2.717,P=0.008).There was no statistically significant difference in rebleeding rate and hospital mortality rate between the two groups(P>0.05).Conclusion For patients with acute non-variceal upper gastrointestinal bleeding,oral feeding within 12 hours after endoscopic examination and hemostasis treatment shortenes hospitalization time without increasing the risk of recurrent bleeding and mortality.
Acute non variceal upper gastrointestinal bleedingOral feedingFastingrebleeding
NETL
NSTL
万方数据
