摘要
目的比较对于急性上消化道出血患者不同时间进行胃镜检查的临床价值。方法回顾性收集2022年1月至2024年1月仙游县妇幼保健院救治的60例急性上消化出血患者临床资料为研究对象。根据入院后胃镜检查时间的差异,分为常规组(24~48 h,n=20)、早期组(8~24 h,n=20)、超早期组(8 h以内,n=20)。比较胃镜检查情况、出血量、住院时间和费用、实验室指标。结果3组急性上消化道出血患者在胃镜检查阳性率上均无显著差异(P>0.05);超早期组和早期组活动性出血检出率均显著高于常规组(P<0.05),超早期组和早期组活动性出血检出率无显著差异(P>0.05);超早期组和早期组止血后再出血率均显著低于常规组(P<0.05),超早期组和早期组活动性出血检出率无显著差异(P>0.05)。超早期组和早期组出血量均显著低于常规组(P<0.001),且超早期组出血量显著低于早期组(P<0.05);超早期组和早期组住院时间均显著低于常规组,且超早期组出血量显著低于早期组(P<0.001);超早期组和早期组住院费用均显著低于常规组(P<0.001),且超早期组住院费用显著低于早期组(P<0.001)。一周后,超早期组血红蛋白显著高于早期组和常规组(P<0.05),而血清白蛋白和中性粒细胞百分比均显著低于早期组和常规组(P<0.05);早期组血红蛋白和常规组相比,均无显著差异(P>0.05)。结论对于急性上消化道出血患者应尽早进行胃镜检查,对活动性出血灶可显著提高检出率,有利于及时采取治疗措施,减少出血量并降低再出血风险,缩短住院时间。
Objective To compare the clinical value of performing endoscopy at different time intervals for patients with acute upper gastrointestinal bleeding.Methods A retrospective review of clinical data was performed on 60 patients who were treated for acute upper gastrointestinal bleeding at Xianyou County Maternity and Child Health Hospital from January 2022 to January 2024.Based on the timing of endoscopic examination after admission,the patients were divided into three groups:the routine group(24–48 hours,n=20),the early group(8–24 hours,n=20),and the ultra-early group(within 8 hours,n=20).The groups were compared in terms of endoscopic findings,blood loss,hospital stay duration and costs,and laboratory indices.Results There was no significant difference in the positive rate of gastroscopy among the three groups of patients with acute upper gastrointestinal bleeding(P>0.05).Both the ultra-early and early groups had significantly higher detection rates of active bleeding compared to the conventional group(P<0.05),while there was no significant difference between the ultra-early and early groups in terms of active bleeding detection rates(P>0.05).The rates of rebleeding after hemostasis in the ultra-early and early groups were significantly lower than in the conventional group(P<0.05),with no significant difference in the active bleeding detection rates between the ultra-early and early groups(P>0.05).The volume of bleeding in the ultra-early and early groups was significantly lower than in the conventional group(P<0.001),and the bleeding volume in the ultra-early group was significantly lower than in the early group(P<0.05).The hospitalization duration in both the ultra-early and early groups was significantly shorter than in the conventional group,and the bleeding volume in the ultra-early group was significantly lower than in the early group(P<0.001).Hospitalization costs in the ultra-early and early groups were significantly lower than in the conventional group(P<0.001),with the ultra-early group also having s
作者
林天桥
LIN Tianqiao(Department of Maternal and Child Health Care Hospital of Xianyou County,Putian 351200,China)
出处
《中华灾害救援医学》
2024年第9期1045-1048,共4页
Chinese Journal of Disaster Medicine
关键词
胃肠出血
胃镜检查
止血
内窥镜
gastrointestinal hemorrhage
gastroscopy
hemostasis,endoscopic
