【摘要】：目的探討急性非靜脈曲張性上消化道出血(NVUGIB)患者胃鏡檢查時間與臨床療效的關(guān)系,為臨床選擇最佳胃鏡檢查時機提供理論依據(jù)。方法選擇急性NVUGIB患者78例,根據(jù)入院后接受胃鏡檢查的不同時間段分為超早期組(即入院后8 h內(nèi)開始胃鏡檢查)、早期組(即入院后8~24 h內(nèi)行胃鏡檢查)、常規(guī)組(即入院后24~48 h內(nèi)行胃鏡檢查)。比較3組患者胃鏡下出血檢出率、活動性出血檢出率、胃鏡止血后再出血檢出率及輸血率、出血量、住院時間。結(jié)果本組患者內(nèi)鏡下治療有效率71.8%(56/78)。3組患者出血檢出率差異無統(tǒng)計學意義(P0.05);超早期、早期組患者活動性出血檢出率高于常規(guī)組(P0.05),但止血后再出血檢出率、輸血率低于常規(guī)組(P0.05)。超早期、早期組患者出血量及住院時間均少于常規(guī)組(P0.05)。結(jié)論超早期、早期胃鏡檢查對于急性NVUGIB患者具有較大診斷優(yōu)勢,尤其針對于活動性出血病灶診斷方面顯著優(yōu)于常規(guī)胃鏡檢查,故急性NVUGIB患者在進行急診胃鏡檢查時應當盡量提早檢測時間,于出血24 h內(nèi)是急診胃鏡診治的最佳時間。
[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，

本文編號：2526107