Observation on the effect of emergency gastroscopy in the treatment of non variceal gastrointestinal bleeding
经急诊胃镜治疗非静脉曲张性消化道出血的效果观察

摘要

目的 为缩短非静脉曲张性消化道出血患者的止血时间，减少输血量，降低再出血风险，对急诊胃镜治疗的应用效果作进一步探究，为临床提供有效参考依据。方法 回顾性分析2020年1月-2022年9月期间在本院急诊接受息肉摘除术治疗的146例患者，术后出血引发非静脉曲张性消化道出血的患者为研究对象，共计38例，按随机数字表法平均分为对照组和观察组（每组各19例），对比观察采用急诊胃镜治疗的观察组与采用常规治疗的对照组的相关临床指标、 止血效果、再出血情况。结果 统计研究表明，两组患者在采取不同的治疗方法后，通过急诊胃镜治疗的观察组患者止血时间、输血量、再出血率明显低于对照组，止血总有效率较对照组更高，组间数据差异明显，P＜0.05，说明存在对比意义。结论 分析表明，急诊胃镜治疗对非静脉曲张性消化道出血患者的再出血风险有显著降低作用，有效提升患者的止血效果，缩短止血时间，减少输血量，治疗效果显著，应用价值良好，对此治疗方案建议大力推广应用。

Abstract

Objective In order to shorten the hemostatic time of patients with non variceal gastrointestinal bleeding, reduce the amount of blood transfusion, and reduce the risk of rebleeding, to further explore the application effect of emergency gastroscopy, and to provide effective reference for clinical practice.
Methods Retrospective analysis was made on 146 patients who received polypectomy in our hospital from January 2020 to September 2022. A total of 38 patients with non variceal gastrointestinal bleeding caused by postoperative bleeding were studied. They were divided into control group and observation group (19 patients in each group) according to random number table Hemostatic effect and rebleeding.
Results The statistical study showed that after the two groups of patients adopted different treatment methods, the hemostatic time, blood transfusion volume and rebleeding rate of patients in the observation group treated by emergency gastroscope were significantly lower than those in the control group, and the total effective rate of hemostasis was higher than that in the control group. The data between groups were significantly different (P<0.05), indicating that there was a comparative significance.
Conclusion   The analysis shows that emergency gastroscopy treatment can significantly reduce the risk of rebleeding in patients with non variceal gastrointestinal bleeding, effectively improve the hemostatic effect of patients, shorten the hemostatic time, reduce the amount of blood transfusion, with significant therapeutic effect and good application value. It is suggested to vigorously promote the application of this treatment scheme.