殷红 丁文俐

[摘要] 目的 探討对消化性溃疡并急性上消化道出血患者行胃镜下治疗的效果。方法 纳入时间为2018年3月—2019年3月方便选取来该院就诊的消化性溃疡并急性上消化道出血患者72例，依照随机数字表法分组，各36例。对参照组采取常规治疗方法，抑制胃酸分泌，保护胃粘膜治疗。对实验组行胃镜下治疗。计算两组消化性溃疡并急性上消化道出血患者的不良反应发生率、临床效果、住院时间以及输血率。结果 实验组消化性溃疡并急性上消化道出血患者的不良反应发生率相比于参照组较低，组间差异有统计学意义（P<0.05）;实验组消化性溃疡并急性上消化道出血患者的临床效果为97.22%（35/36）明显高于参照组消化性溃疡并急性上消化道出血患者的临床效果为72.22%（26/36）（χ2=6.222，P<0.05）;实验组消化性溃疡并急性上消化道出血患者的住院时间短于参照组，两组数据差异有统计学意义（P<0.05）;实验组消化性溃疡并急性上消化道出血患者的输血率低于参照组，组间差异有统计学意义（P<0.05）。结论 对消化性溃疡并急性上消化道出血患者行胃镜下治疗，患者的临床症状得带明显改善，止血效果较优，缩短住院时间，临床治疗效果显著。

[关键词] 消化性溃疡;急性上消化道出血;胃镜

[中图分类号] R573.1          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0079-03

Clinical Analysis of Gastroscopy for Peptic Ulcer and Acute Upper Gastrointestinal Bleeding

YIN Hong， DING Wen-li

Department of Gastroenterology， Kunming Yan'an Hospital， Kunming， Yunnan Province， 650051 China

[Abstract] Objective To investigate the effect of gastroscopy on patients with peptic ulcer and acute upper gastrointestinal bleeding. Methods The enrollment period was convenient selection from March 2018 to March 2019 72 patients with peptic ulcer and acute upper gastrointestinal bleeding who were treated in the hospital were included. They were grouped according to the random number table method， with 36 cases each. The reference group was treated with conventional methods to inhibit gastric acid secretion and protect gastric mucosa. The experimental group was treated with gastroscopy. The incidence of adverse reactions， clinical effects， length of stay， and blood transfusion rate in patients with peptic ulcer and acute upper gastrointestinal bleeding were calculated. Results The incidence of adverse reactions in patients with peptic ulcer and acute upper gastrointestinal bleeding in the experimental group was lower than that in the reference group， and the difference between the groups was statistically significant（P<0.05）; patients in the experimental group with peptic ulcer and acute upper gastrointestinal bleeding The clinical effect of 97.22%（35/36） was significantly higher than the reference group of patients with peptic ulcer and acute upper gastrointestinal bleeding was 72.22%（26/36）（χ2=6.222， P<0.05）; The hospital stay of patients with acute ulcer and acute upper gastrointestinal bleeding was shorter than that of the reference group， and the difference in data between the two groups was statistically significant（P<0.05）; The difference between the groups was statistically significant（P<0.05）.Conclusion Gastroscopy is performed on patients with peptic ulcer and acute upper gastrointestinal bleeding. The clinical symptoms of the patients are significantly improved， the hemostatic effect is better， the length of hospital stay is shortened， and the clinical treatment effect is significant.

[Key words] Peptic ulcer; Acute upper gastrointestinal bleeding; Gastroscopy

消化性溃疡、急性上消化道出血症状属于消化系统疾病中常见种类，其均具有病情进展快、发病急的特点。消化性溃疡并急性上消化道出血患者常会出现黑便、吐血等情况，属于危急重症，因此需对患者实施及时治疗[1]。消化性溃疡并急性上消化道出血患者常采取介入治疗、内镜下治疗、常规治疗、外科手术治疗等，现今胃镜技术逐渐成熟，胃镜技术应用较广，且效果显著。对消化性溃疡并急性上消化道出血患者行胃镜下治疗，其方法简单，将费用降低[2]。在2018年3月—2019年3月期间方便选取该院72例消化性溃疡并急性上消化道出血患者进行研究。现报道如下。

1  资料与方法

1.1  一般资料

方便选取来该院就诊的消化性溃疡并急性上消化道出血患者72例，依照随机数字表法分组，各36例。……