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目的探讨急诊绿色通道在上消化道出血患者抢救治疗中的应用价值。方法选取2011年7月至2014年7月在云南省临沧市人民医院急诊科进行抢救治疗的94例上消化道出血患者作为研究对象,按入院抢救时间顺序随机将其分为对照组和观察组,各47例。对照组患者采用常规方法进行临床抢救治疗,观察组患者采用急诊绿色通道,比较两组患者的临床诊疗情况和效果。结果观察组患者的平均输血量明显少于对照组,止血时间、住院时间均明显短于对照组,住院费用明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者治疗的总有效率明显高于对照组,病死率、手术率及复发率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论在上消化道出血患者的临床抢救中,采用急诊绿色通道临床效果明显,能有效缩短患者止血时间和治疗时间,降低手术率和病死率,减少复发出血症状的发生,并明显减轻了患者的经济负担。
Objective To explore the value of emergency green channel in rescue and treatment of patients with upper gastrointestinal bleeding. Methods From July 2011 to July 2014, 94 patients with upper gastrointestinal bleeding who underwent emergency treatment in the emergency department of Lincang People’s Hospital of Yunnan Province were selected as study subjects and randomly divided into control group and observation group Group, each 47 cases. Patients in the control group were treated with the conventional method and emergency observation channel was used in the observation group. Clinical diagnosis and treatment were compared between the two groups. Results The mean blood transfusion volume in the observation group was significantly less than that in the control group, and the bleeding time and hospitalization time were significantly shorter than those in the control group. The hospitalization costs were significantly lower than those in the control group (all P <0.05) The total effective rate of treatment was significantly higher than that of control group. The mortality, operative rate and recurrence rate were significantly lower than those in control group (all P <0.05). Conclusions In clinical rescue of patients with upper gastrointestinal hemorrhage, the clinical effect of using emergency green channel is obvious, which can effectively shorten the time of hemostasis and treatment, reduce the operation rate and mortality, reduce the occurrence of recurrent haemorrhage and significantly reduce the patients’ economic burden.