Analysis of the Application Effect of Gastrointestinal Endoscopy in Upper Gastrointestinal Bleeding
Objective To investigate the value of implementing gastrointestinal endoscopy in upper gastrointestinal bleeding.Methods 98 patients with upper gastrointestinal bleeding admitted to Pingyi County People's Hospital from October 2022 to October 2023 were selected as the study subjects,who were divided into drug group and endoscopy group according to the lottery,49 cases each,The drug group underwent pharmacological hemostasis therapy,while the endoscopy group underwent digestive endoscopy.Response rate,recovery indexes,coagulation functions and com-plications were compared between the two groups.Results The response rate was higher in the endoscopic group(97.96%)than in the drug group(83.67%),and the difference was statistically significant(x2=5.995,P=0.014).The endoscopic group was shorter than the drug group in terms of bleeding control,bowel song recovery,complete hemosta-sis and time to discharge,and the transfusion volume was less than the drug group,and the differences were statisti-cally significant(all P＜0.05).Before treatment,there was no statistically significant difference in coagulation indexes between the two groups(P＞0.05),After treatment,the coagulation function in the endoscopic group was better than in the drug group,and the difference was statistically significant(P＜0.05).The complication rate in the endoscopic group was lower than in the drug group(4.08%vs 18.37%),and the difference was statistically significant(P＜0.05).Conclu-sion Digestive endoscopic treatment can shorten the hemostatic time,maintain a high hemostatic effectiveness,restore the coagulation function,and reduce the complications caused by upper gastrointestinal bleeding.
万方数据
维普
