急性非静脉曲张性上消化道出血患者胃镜检查时间与疗效的关系

发布时间：2019-08-13 11:55

【摘要】：目的探讨急性非静脉曲张性上消化道出血(NVUGIB)患者胃镜检查时间与临床疗效的关系,为临床选择最佳胃镜检查时机提供理论依据。方法选择急性NVUGIB患者78例,根据入院后接受胃镜检查的不同时间段分为超早期组(即入院后8 h内开始胃镜检查)、早期组(即入院后8~24 h内行胃镜检查)、常规组(即入院后24~48 h内行胃镜检查)。比较3组患者胃镜下出血检出率、活动性出血检出率、胃镜止血后再出血检出率及输血率、出血量、住院时间。结果本组患者内镜下治疗有效率71.8%(56/78)。3组患者出血检出率差异无统计学意义(P0.05);超早期、早期组患者活动性出血检出率高于常规组(P0.05),但止血后再出血检出率、输血率低于常规组(P0.05)。超早期、早期组患者出血量及住院时间均少于常规组(P0.05)。结论超早期、早期胃镜检查对于急性NVUGIB患者具有较大诊断优势,尤其针对于活动性出血病灶诊断方面显著优于常规胃镜检查,故急性NVUGIB患者在进行急诊胃镜检查时应当尽量提早检测时间,于出血24 h内是急诊胃镜诊治的最佳时间。
[Abstract]:Objective to investigate the relationship between gastroscopy time and clinical efficacy in patients with acute non-varicose upper gastrointestinal bleeding (NVUGIB), and to provide theoretical basis for selecting the best time of gastroscopy. Methods 78 patients with acute NVUGIB were divided into ultra-early group (that is, gastroscopy within 8 hours after admission), early group (gastroscopy within 8 hours after admission) and routine group (gastroscopy within 24 hours after admission) according to the different time periods of gastroscopy after admission. The detection rate of bleeding under gastroscopy, the detection rate of active bleeding, the detection rate of rebleeding after gastroscopy hemostasis, the rate of transfusion, the amount of bleeding and the time of hospitalization were compared among the three groups. Results the effective rate of endoscopic treatment was 71.8% (56 鈮，

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