急诊介入治疗急性重度非静脉曲张性上消化道出血的临床疗效观察

Bo Chen, Donghong Shi, Min Ai, Longjiang Zhang
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摘要

目的:观察急诊介入治疗急性重度非静脉曲张性上消化道出血的临床效果。方法:选取2020年5月~ 2023年5月东部战区总医院收治的急性重度非静脉曲张性上消化道出血患者78例,根据不同治疗方案随机分为两组。研究组接受急诊上消化道血管造影及介入栓塞治疗,对照组给予埃索美拉唑治疗;比较两组患者的临床资料,包括总有效率、血压稳定时间、出血控制时间等。结果:研究组临床治疗有效率为97.44%,高于对照组的79.49% (P <0.05)。两者均显著缩短(P <0.05);研究组7 d再出血率和30 d再出血率均低于对照组(P <0.05);两组治疗后7 d、30 d死亡率比较,比较研究组较低,但差异无统计学意义(P >0.05)。结论:急诊介入治疗能更快地控制出血,缩短出血控制时间和完全止血时间,缩短血压稳定时间和腹痛缓解时间,降低急性重度非静脉曲张性上消化道出血患者的再出血率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Observation on the Clinical Effect of Emergency Interventional Therapy on Acute Severe Non- Variceal Upper Gastrointestinal Bleeding
Objective: To observe the clinical effect of emergency interventional therapy for patients with acute severe non-variceal upper gastrointestinal bleeding. Methods: 78 patients with acute severe non-variceal upper gastrointestinal bleeding who were treated in the General Hospital of the Eastern Theater Command from May 2020 to May 2023 were randomly divided into two groups according to different treatment plans. The study group underwent emergency upper gastrointestinal angiography and interventional embolization therapy, the control group was treated with esomeprazole; the clinical data related to the two groups were compared, including the total effective rate of treatment, blood pressure stabilization time, bleeding control time, etc. Results: The effective rate of clinical treatment in the study group was 97.44%, which was higher than that in the control group, which was 79.49% (P < 0.05). Both were significantly shorter (P < 0.05); the 7 d rebleeding rate and 30 d rebleeding rate of the study group were lower than those of the control group (P < 0.05); the 7 d and 30 d mortality rates of the two groups after treatment were compared, and the comparative study group was lower, but there was no significant difference (P > 0.05). Conclusion: Emergency interventional therapy can control bleeding more quickly, shorten bleeding control time and complete hemostasis time, shorten blood pressure stabilization time and abdominal pain relief time, and reduce rebleeding rate in patients with acute severe non-variceal upper gastrointestinal bleeding.
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