CAJ | 학술논문

目的：探讨急诊内镜治疗非静脉曲张性上消化道出血的临床效果及安全性。方法选择我院2012年6月至2014年6月70例非静脉曲张性上消化道出血患者作为观察对象，分为观察组和对照组，每组35例。观察组患者实施急诊内镜检查治疗，对照组患者则采取择期内镜检查治疗。比较两组患者出血病因检出率、输血率、内镜止血成功率、再出血发生率及住院时间等。结果70例患者主要发病因素为消化性溃疡和急性胃黏膜病变；观察组急性胃黏膜病变检出率、止血成功率显著高于对照组，P＜0．05；观察组患者输血率、再出血发生率、住院时间明显低于对照组，P＜0．05。结论急诊内镜方法能够有效提高非静脉曲张性上消化道出血发病原因检出率，进而减少输血量和再出血发生率，对缩短治疗时间、优化治疗方案具有指导作用。
목적：탐토급진내경치료비정맥곡장성상소화도출혈적림상효과급안전성。방법선택아원2012년6월지2014년6월70례비정맥곡장성상소화도출혈환자작위관찰대상，분위관찰조화대조조，매조35례。관찰조환자실시급진내경검사치료，대조조환자칙채취택기내경검사치료。비교량조환자출혈병인검출솔、수혈솔、내경지혈성공솔、재출혈발생솔급주원시간등。결과70례환자주요발병인소위소화성궤양화급성위점막병변；관찰조급성위점막병변검출솔、지혈성공솔현저고우대조조，P＜0．05；관찰조환자수혈솔、재출혈발생솔、주원시간명현저우대조조，P＜0．05。결론급진내경방법능구유효제고비정맥곡장성상소화도출혈발병원인검출솔，진이감소수혈량화재출혈발생솔，대축단치료시간、우화치료방안구유지도작용。
Objective This article was to explore the clinical efficiency and safety of endoscope in treating none-varicose veins upper gastrointestinal bleeding in emergency department.Methods From June 2012to June 2014, 70 cases of non varicose veins patients with upper gastrointestinal hemorrhage were chosen as research object and they were divided into observation group and the control group, 35 cases in each group. Patients in observation group received emergency endoscopy while patients in the control group underwent elective endoscopy treatment.Compare hemorrhage etiology detection rate, the rate of blood transfusion, endoscopic hemostasis rate and incidence of bleeding and length of hospital stay of the two groups.Results The major risk factors of upper gastrointestinal bleeding were peptic ulcer and acute gastric mucosa lesion.Acute gastric mucosa lesion detection rate and the success rate of hemostasis of observation group were significantly higher than the control group (P<0.05).The blood transfusion rate, incidence of bleeding again and the length of time in observation group were significantly lower than the control group ( P <0.05 ).Conclusions Emergency endoscopic approach can effectively improve the detection rate of none variceal upper gastrointestinal bleeding, decrease the amount of blood transfusion and the incidence of bleeding again, shorten the treatment time and optimize the treatment.