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目的观察急性非静脉曲张性上消化道出血内镜止血的效果。方法将86例急性非静脉曲张性上消化道出血患者随机分为试验组和对照组各43例。其中,试验组患者予以内镜止血治疗,对照组予以内科常规止血治疗,比较2组临床疗效及术中输血量、止血和住院时间、再出血率及并发症发生情况。结果试验组总有效率为93.02%高于对照组的65.12%,差异有统计学意义(P<0.05)。试验组术中输血量小于对照组,止血及住院时间均短于对照组,再出血率及并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论对急性非静脉曲张性上消化道出血的患者采用内镜止血的临床效果理想,且优于常规止血方法,降低了住院时间、术中输血量及再出血率,应用前景广。
Objective To observe the effect of endoscopic hemostasis on acute non-variceal upper gastrointestinal bleeding. Methods A total of 86 patients with acute non-variceal upper gastrointestinal bleeding were randomly divided into experimental group and control group, 43 cases each. Among them, patients in the experimental group were treated with endoscopic hemostasis, while those in the control group were given conventional medical hemostasis. The clinical efficacy, intraoperative blood transfusion, hemostasis, hospital stay, rate of rebleeding and complication were compared between the two groups. Results The total effective rate of the experimental group was 93.02% higher than that of the control group (65.12%), the difference was statistically significant (P <0.05). The blood transfusion in the experimental group was less than that in the control group, and the bleeding time and hospitalization time were shorter than those in the control group. The rebleeding rate and complication rate were lower in the experimental group than in the control group (P <0.05). Conclusion The clinical effect of endoscopic hemostasis in patients with acute non-variceal upper gastrointestinal bleeding is better than that of conventional hemostasis, reducing the length of hospital stay, intraoperative blood transfusion and rebleeding rate, and has wide application prospects.