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急诊介入治疗重度非静脉曲张性上消化道出血的应用效果

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目的:探讨急诊介入治疗重度非静脉曲张性上消化道出血的应用效果。方法:纳入2021年9月—2022年10月单县东大医院收治的 72 例重度非静脉曲张性上消化道出血患者作为研究对象,根据治疗方法的差异将其分为对照组和研究组,各 36 例。对照组接受急诊胃镜治疗,研究组接受急诊介入治疗。比较两组出血病灶检出率、康复时间、治疗效果、再出血及并发症。结果:研究组出血病灶检出率为 94。44%,明显高于对照组的 77。78%,差异有统计学意义(P<0。05);研究组止血时间、肠鸣音恢复时间及住院时间较对照组明显缩短,差异有统计学意义(P<0。05);研究组治疗总有效率为 94。44%,高于对照组的 75。00%,差异有统计学意义(P<0。05);研究组治疗后 1 周、1 个月再出血率低于对照组,且病变部位坏死、穿孔发生率低于对照组,差异有统计学意义(P<0。05)。结论:急诊介入治疗重度非静脉曲张性上消化道出血具有较高的出血病灶检出率和总有效率,并能缩短康复时间,降低再出血率,减少并发症。
Application Effect of Emergency Interventional Therapy for Severe Non Variceal Upper Gastrointestinal Bleeding
Objective:To explore the application effect of emergency interventional therapy for severe non variceal upper gastrointestinal bleeding.Method:A total of 72 patients with severe non variceal upper gastrointestinal bleeding who admitted to Shan County Dongda Hospital from September 2021 to October 2022 were included as the study objects,they were divided into the control group and the study group according to the difference of treatment methods,with 36 cases in each group.The control group was given emergency gastroscopy treatment,while the study group was given emergency interventional therapy.The detection rate of bleeding lesions,recovery time,treatment effect,rebleeding and complications between two groups were compared.Result:The detection rate of bleeding lesions in the study group was 94.44%,which was significantly higher than 77.78%in the control group,the difference was statistically significant(P<0.05);the hemostasis time,bowel sound recovery time and hospitalization time in the study group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05);the total effective rate of treatment in the study group was 94.44%,which was significantly higher than 75.00%in the control group,the difference was statistically significant(P<0.05);the rebleeding rate at 1 week and 1 month after treatment in the study group were lower than those in the control group,and the incidence of necrosis and perforation in the lesion site were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Emergency interventional therapy for severe non variceal upper gastrointestinal bleeding has a high bleeding lesion detection rate and total treatment efficiency,and can shorten patient recovery time,reduce the rebleeding rate,reduce complications.

Emergency interventional therapyNon variceal upper gastrointestinal bleedingBleeding lesionRebleeding rate

陈洪胜、丁超、黄如桂

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单县东大医院 山东 单县 274300

急诊介入治疗 非静脉曲张性上消化道出血 出血病灶 再出血率

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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