摘要
目的:研究急性非静脉曲张性上消化道出血内镜介入治疗相关变量对住院时间和输血量的影响,以便更好利用住院资源。方法:对91例急性非静脉曲张性上消化道出血患者进行回顾性分析,按照相关变量(内镜治疗方式、治疗时机、患者年龄、发病时血压、心率、疾病性质、患者合并疾病)进行统计,研究各因子的变化与住院时间和输血量之间的相互关系。结果:单一方法止血组和钛夹联用注射止血组分别在住院时间和输血量上比较差异有统计学意义(P<0.05);超过48h行介入治疗组与24h以内介入治疗组在输血量上也有比较差异有统计学意义(P<0.05);<60岁和60～80岁组间在住院时间上比较差异有统计学意义(P<0.05);60～80岁和>80岁组间在输血量上比较差异无统计学意义(P>0.05);入院时收缩压>100mmHg和心率<100次/min的患者在住院时间和输血量上少于收缩压>100mmHg和心率>100次/min的患者,并且比较差异有统计学意义(P<0.05);病变性质在住院时间和输血量上比较差异有统计学意义(P<0.05);是否有心脑血管性合并疾病在住院时间和输血量比较差异无统计学意义(P>0.05)。结论:急诊内镜下联合止血方案可以缩短住院时间,并且入院时心率和血压的严格观察给予及时补液稳定生命体征和内镜治疗能减少输血量和缩短住院时间,节约医疗成本。
Objective To study the acute non-variceal upper gastrointestinal bleeding in endoscopic treatment related variables on the length of hospital stay and blood volume in order to make better use of hospital resources.Methods Chengdu Third People＇s Hospital of 91 patients with acute non-variceal upper gastrointestinal bleeding were retrospectively analyzed,in accordance with the relevant variables（endoscopic treatment,treatment time,patient age,blood pressure,heart rate,disease character Patients with the disease）in statistics,research the various factors change and hospitalization time and the relationship between transfusion.Results The single method to stop bleeding group and the titanium clip group were associated with injection therapy and blood transfusion in the hospital on time and the difference was statistically significant（P 0.05）;beyond 48 h intervention therapy group and the 24 h transfusion within the intervention group quantitative difference is also significant（P 0.05）;60years old and between 60 to 80 age group difference in hospitalization time was significant（P〈0.05）;60～80 years old and80 age group Comparison between the blood transfusion was no significant difference on（P〈0.05）;admission systolic blood pressure100 mm Hg and heart rate100 times/min in the patients length of stay of less than systolic blood pressure and blood transfusion100 mm Hg and heart rate 100 times/min in patients,and the difference was statistically significant（P〈0.05）;lesions hospital stay and blood transfusion in the significant difference（P〈0.05）;is determined to merge cerebral vascular disease in the hospital stay and blood transfusion was no significant difference（P 0.05）.Conclusion The emergency endoscopic hemostasis joint program can reduce the hospital stay,and admission heart rate and blood pressure,fluid and timely given the strict observation of stable vital signs and endoscopic treatment can reduce the amount of blood transfusion and shorter hospital stay,reduce medical care costs.
出处
《吉林医学》
CAS
2010年第27期4646-4648,共3页
Jilin Medical Journal
关键词
急性非静脉曲张性上消化道出血
内镜介入治疗
Acute non-variceal upper gastrointestinal bleeding
Endoscopic intervention
