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目的分析非静脉曲张性上消化道出血的临床治疗效果。方法选取医院2013年7月-2015年4月医院收治的非静脉曲张性上消化道出血患者86例,将其随机分为观察组和对照组各43例,观察组行急诊内镜检查,对照组行择期内镜检查。对比2组患者的临床治疗效果以及患者的恢复情况。根据患者再出血的发生情况,分析影响再出血的主要因素,并进行二元非条件Logistic回归分析。结果 2组患者的手术成功率对比无显著差异(P>0.05),观察组患者再出血率及输血治疗率均低于对照组,差异有统计学意义(P<0.05),观察组患者的肠鸣音恢复时间、出血停止时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。根据影响非静脉曲张性上消化道出血内镜治疗后再出血单因素及二元非条件Logistic回归分析结果,针对恶性肿瘤、后续治疗不足及Hb<90 g/L等因素加以防范,以保证临床治疗效果。结论内镜介入治疗是治疗非静脉曲张性上消化道出血有效方法,在应用该治疗方法的同时,加强对危险因素的警惕,以提升内镜止血治疗的效果。
Objective To analyze the clinical effect of non-variceal upper gastrointestinal bleeding. Methods Totally 86 patients with non-variceal upper gastrointestinal bleeding admitted to the hospital from July 2013 to April 2015 were selected and randomly divided into observation group (43 cases) and control group (43 cases). The observation group was performed emergency endoscopy, Group elective endoscopy. Compare the clinical effect of two groups of patients and the recovery of the patients. According to the occurrence of rebleeding, the main factors affecting rebleeding were analyzed and the binary non-conditional logistic regression analysis was performed. Results There was no significant difference in operative success rate between the two groups (P> 0.05). The rebleeding rate and transfusion rate in the observation group were lower than those in the control group (P <0.05) The recovery time of beats, stop time of bleeding and hospital stay were shorter than those of the control group (P <0.05). According to the results of univariate and binary non-conditional logistic regression analysis of endoscopic re-bleeding after non-variceal upper gastrointestinal hemorrhage and the prevention of malignant tumor, follow-up treatment and Hb <90 g / L, treatment effect. Conclusion Endoscopic interventional therapy is an effective method for the treatment of non-variceal upper gastrointestinal bleeding. At the same time of applying this treatment, we should strengthen the vigilance of risk factors and enhance the effect of endoscopic hemostasis.