中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
7期
186-188,194
,共4页
急诊胃镜%上消化道出血%治疗
急診胃鏡%上消化道齣血%治療
급진위경%상소화도출혈%치료
Emergency endoscopy%Upper gastrointestinal bleeding%Treatment
目的：探讨急诊胃镜检查在上消化道出血诊断与治疗中的价值。方法选择2011年1月~2014年5月我院和汕头潮南民生医院接诊的120例上消化道出血患者进行研究。根据患者的诊断治疗的时间是否小于24h，分为观察组与对照组。观察组60例患者，采用急诊胃镜诊断治疗。对照组60例患者，采用常规的胃镜诊断治疗。比较两组患者的胃镜检查与治疗效果。结果观察组患者与对照组患者一般临床资料相比无统计学差异（P＞0.05）；观察组与对照组检查结果中病因不明的比率5.00%和21.67%，两者比较有统计学意义（x2=7.2115，P=0.0072）；观察组的确诊率明显高于对照组，两者比较有统计学差异（P＜0.05）；观察组与对照组在12h内的止血率为48.33%和18.33%，在12～24h内的止血率为81.66%和68.33%，24h后两组止血率均为100.00%，两组相比较有统计学意义（u=3.1701，P=0.0015）；观察组的输血率明显小于对照组，两组比较有统计学意义（x2=4.6584，P=0.0309）。结论急诊胃镜检查在上消化道出血诊断与治疗中的效果良好，值得临床推广。
目的：探討急診胃鏡檢查在上消化道齣血診斷與治療中的價值。方法選擇2011年1月~2014年5月我院和汕頭潮南民生醫院接診的120例上消化道齣血患者進行研究。根據患者的診斷治療的時間是否小于24h，分為觀察組與對照組。觀察組60例患者，採用急診胃鏡診斷治療。對照組60例患者，採用常規的胃鏡診斷治療。比較兩組患者的胃鏡檢查與治療效果。結果觀察組患者與對照組患者一般臨床資料相比無統計學差異（P＞0.05）；觀察組與對照組檢查結果中病因不明的比率5.00%和21.67%，兩者比較有統計學意義（x2=7.2115，P=0.0072）；觀察組的確診率明顯高于對照組，兩者比較有統計學差異（P＜0.05）；觀察組與對照組在12h內的止血率為48.33%和18.33%，在12～24h內的止血率為81.66%和68.33%，24h後兩組止血率均為100.00%，兩組相比較有統計學意義（u=3.1701，P=0.0015）；觀察組的輸血率明顯小于對照組，兩組比較有統計學意義（x2=4.6584，P=0.0309）。結論急診胃鏡檢查在上消化道齣血診斷與治療中的效果良好，值得臨床推廣。
목적：탐토급진위경검사재상소화도출혈진단여치료중적개치。방법선택2011년1월~2014년5월아원화산두조남민생의원접진적120례상소화도출혈환자진행연구。근거환자적진단치료적시간시부소우24h，분위관찰조여대조조。관찰조60례환자，채용급진위경진단치료。대조조60례환자，채용상규적위경진단치료。비교량조환자적위경검사여치료효과。결과관찰조환자여대조조환자일반림상자료상비무통계학차이（P＞0.05）；관찰조여대조조검사결과중병인불명적비솔5.00%화21.67%，량자비교유통계학의의（x2=7.2115，P=0.0072）；관찰조적학진솔명현고우대조조，량자비교유통계학차이（P＜0.05）；관찰조여대조조재12h내적지혈솔위48.33%화18.33%，재12～24h내적지혈솔위81.66%화68.33%，24h후량조지혈솔균위100.00%，량조상비교유통계학의의（u=3.1701，P=0.0015）；관찰조적수혈솔명현소우대조조，량조비교유통계학의의（x2=4.6584，P=0.0309）。결론급진위경검사재상소화도출혈진단여치료중적효과량호，치득림상추엄。
Objective To evaluate the value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding.Methods 120 patients with Upper gastrointestinal bleeding from January 2011 to May 2014 in our hospital were researched, according to whether Less than 24h of diagnosis time. They were divided into observation and control groups. Observation group had 60 patients, they were treated by using of emergency endoscopy. Control group had 60 patients, using conventional gastroscope. Two groups' examination and treatment effect were compared.ResultsThere was no significant difference of patients in the control group and the observation group in the clinical data (P>0.05); Cause unknown in the observation group and the control group was 5.00% and 21.67%, there were significant differences compared to each other(x2=7.2115,P=0.0072); diagnosis rate of the observation group were higher than the control group(P<0.05);bleeding rate of 12 hours in the observation group and the control group was 6.00% and 22.00%,at 12 - 24h within was 81.66% and 68.33%,after 24h were 100%,there was a significant difference (u=3.1701,P=0.0015) ; transfusion rate of observation group was lowerer than the control group, there was a significant difference (x2=4.6584,P=0.0309) . Conclusion The efficacy of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding is well. It is worthy of promotion in clinic.
