聂莹莹

摘 要 目的：探讨消化内镜治疗上消化道出血的临床效果。方法：选取300例上消化道出血患者，按治疗方案不同分为对照组和研究组各150例，对照组采用传统治疗方法，而研究组采用消化内镜治疗，比较两组的疗效。结果：研究组患者治疗总有效率高于对照组、而平均止血时间、血流速度、住院时间、复发率均短或低于对照组（P<0.05）。结论：消化内镜治疗上消化道出血的止血效果更佳，值得临床进一步试验。

关键词 消化内镜治疗方法 上消化道出血 传统治疗方法

中图分类号：R655.4 文献标志码：A 文章编号：1006-1533（2021）17-0043-03

Clinical effect of digestive endoscopy in the treatment of upper gastrointestinal bleeding

NIE Yingying

（Department of Digestive Internal Medicine， Jiamusi Central Hospital， Jiamusi 154002， China）

ABSTRACT Objective： To explore the clinical effect of digestive endoscopy in the treatment of upper gastrointestinal bleeding. Methods： Three hundred cases of patients with upper gastrointestinal bleeding were selected and divided into a control group and a study group with 150 cases each based on their treatment schemes. The control group was treated with a conventional therapy while the study group with digestive endoscopy. The clinical efficacy was compared between the two groups. Results： The total effective rate was higher， while the mean hemostatic time and hospital stay were shorter and blood flow velocity and recurrence rate were lower in the study group than the control group （P< 0.05）. Conclusion： Digestive endoscopy for the treatment of upper gastrointestinal bleeding has a better hemostatic effect and is worthy of further trial in clinic.

KEy WORDS digestive endoscopy； upper gastrointestinal hemorrhage； traditional therapy

上消化道出血作為一种多因素致病疾病，常见病因包括食管癌、食管炎、食管消化性溃疡、食管损伤以及上胃肠道邻近器官疾病等，发病率较高，且有起病急、进展快、病情复杂等特点，以头晕、全身乏力、呕血、便血等为主要临床表现，若未能及时止血，可引起休克、器官损伤等不良反应，对患者健康乃至生命构成严重威胁[1-2]。目前，临床上对于本病主要采取静脉用药治疗，常用药品如生长抑素、质子泵抑制剂等等，通过抑制胃酸，刺激其胃肠蠕动，达到胃肠减压、保护胃黏膜的目标，有一定止血效果[3-4]；而静脉用药等保守疗法的药效发挥迟缓，无法达到患者、医师的治疗标准，且对部分病情危重者或者个体差异患者无法获得理想疗效[5]。因此，有必要探索其他高效治疗手段。

消化内镜作为一种消化系统疾病诊疗工具，可利用内镜准确注射肾上腺素，促使出血部位血管收缩，刺激血管内的血小板聚集，造成局部肿胀，达到血管压迫止血的目标[6-7]。……