首页|急性上消化道出血患者予以超早期内镜检查对提高活动性出血诊断率的意义分析

急性上消化道出血患者予以超早期内镜检查对提高活动性出血诊断率的意义分析

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目的:研究超早期内镜检查对急性上消化道出血(AUGIB)患者活动性出血诊断率的影响.方法:以2022年5月~2023年3月抚州市直属门诊部及合作单位抚州市第一人民医院消化内科收治的60例AUGIB患者为研究对象,按照单双号抽签分组方式分为对照组与观察组,各30例.对照组行早期内镜检查(就诊后6~24h实施内镜检查),观察组采用超早期内镜检查(就诊后6h实施内镜检查),随后依据其诊断结果采取相应止血措施.比较两组患者的活动性出血与血管溃疡诊断率,并统计其止血率、输血率、输血量,比较两组患者的开放饮食时间、住院时间、再出血率.结果:观察组活动性出血、血管溃疡诊断率高于对照组(P<0.05).观察组止血率高于对照组,且输血率、输血量小于对照组(P<0.05).观察组开放饮食时间、住院时间、再出血率均少于对照组(P<0.05).结论:超早期内镜检查可提高AUGIB患者的活动性出血与血管溃疡诊断率,改善临床止血效果,降低患者的输血率及输血量,同时缩短其开放饮食时间及住院时间,减少患者的再出血风险.
Analysis of the Significance of Early Endoscopic Examination in Improving the Diagnostic Rate of Active Bleeding in Patients with Acute Upper Gastrointestinal Bleeding
Objective:To study the effect of ultra early endoscopic examination on the diagnostic rate of active bleeding in patients with acute upper gastrointestinal bleeding(AUGIB).Methods:60 AUGIB patients admitted to the Gastroenterology Department of Fuzhou First People's Hospital,a direct outpatient department and cooperative unit of Fuzhou City,from May 2022 to March 2023,were selected as the study subjects.They were divided into a control group and an observation group,with 30 patients in each group,based on a single or double number lottery.The control group underwent early endoscopic examination(performed 6 to 24 hours after treatment),while the observation group underwent ultra early endoscopic examination(performed 6 hours after treatment),followed by corresponding hemostatic measures based on its diagnostic results.Compare the diagnostic rates of active bleeding and vascular ulcers between two groups of patients,and calculate their hemostasis rate,transfusion rate,and transfusion volume.Compare the open diet time,hospitalization time,and rebleeding rate between the two groups of patients.Results:The diagnostic rate of active bleeding and vascular ulcers in the observation group was higher than that in the control group(P<0.05).The hemostasis rate of the observation group was higher than that of the control group,and the blood transfusion rate and volume were lower than those of the control group(P<0.05).The observation group had less open diet time,hospital stay,and rebleeding rate than the control group(P<0.05).Conclusion:Ultra early endoscopic examination can improve the diagnosis rate of active bleeding and vascular ulcers in AUGIB patients,improve clinical hemostasis effect,reduce blood transfusion rate and volume,shorten the time of open diet and hospitalization,and reduce the risk of rebleeding in patients.

acute upper gastrointestinal bleedingultra early endoscopic examinationactive bleedingvascular ulcerdiagnostic effect

邹国云、李民、吴智

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抚州市直属门诊部消化内科(江西 抚州 344000)

抚州市第一人民医院消化内科(江西 抚州 344000)

急性上消化道出血 超早期内镜检查 活动性出血 血管溃疡 诊断效果

2022年抚州市第一批社会发展指导性科技项目

抚科社字[2022]5号第46项

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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