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目的分析胃镜下治疗老年性与非老年性上消化道出血的临床效果。方法选取2012—2013年集安市太王镇卫生院收治的老年性上消化道出血患者100例作为研究组,另选取同期集安市太王镇卫生院收治的非老年性上消化道出血患者100例作为对照组。观察两组患者胃镜检出率,出血原因及伴随疾病情况。结果研究组患者胃镜检出率与对照组比较,差异无统计学意义(P>0.05);研究组患者出血原因主要有消化性溃疡、胃黏膜病变、食管静脉曲张;对照组患者出血原因主要有消化性溃疡、食管静脉曲张;研究组患者高血压、冠心病、慢性支气管炎、糖尿病发生率高于对照组,差异有统计学意义(P<0.05)。结论胃镜下治疗老年性上消化道出血的临床效果显著,能有效判断出血原因,提高检出率。
Objective To analyze the clinical effect of endoscopy on senile and non-senile upper gastrointestinal bleeding. Methods A total of 100 elderly patients with upper gastrointestinal bleeding admitted to Taiwang Town Hospital of Ji’an City from 2012 to 2013 were selected as the study group. The patients with non-senile upper gastrointestinal bleeding admitted to Taiwang Town Hospital of Ji’an during the same period were selected as the study group. 100 cases as control group. The incidence of gastroscopy, the causes of bleeding and the accompanying diseases were observed in the two groups. Results The gastroscope detection rate in the study group was not significantly different from that in the control group (P> 0.05). The main causes of bleeding in the study group were peptic ulcer, gastric mucosal lesions and esophageal varices. The causes of bleeding in the control group were mainly Peptic ulcer and esophageal varices. The study group had higher incidence of hypertension, coronary heart disease, chronic bronchitis and diabetes than the control group (P <0.05). Conclusion Gastroscopic treatment of senile upper gastrointestinal bleeding has a significant clinical effect, which can effectively determine the cause of bleeding and improve the detection rate.