摘要
目的探讨急诊一体化绿色通道救治急性上消化道出血的临床效果。方法选取2013年6月~2017年8月我院收治的100例急性上消化道出血患者作为研究对象,根据急诊一体化绿色通道建立前后将患者分为两组,以急诊一体化绿色通道建立前的46例患者作为对照组,急诊一体化绿色通道建立后的54例患者作为研究组。对照组患者均采用常规急诊救治方法进行抢救,研究组患者采用急诊一体化绿色通道模式进行抢救。比较两组患者的平均止血时间、平均输血量、平均住院时间和平均住院费用,手术率、复发出血率以及死亡率。结果研究组患者的平均止血时间、平均住院时间均明显短于对照组,平均输血量明显少于对照组,平均住院费用明显低于对照组,手术率、复发出血率及死亡率均低于对照组(P<0.05)。结论急诊一体化绿色通道救治急性上消化道出血,可有效控制患者的出血量,缩短住院时间,降低住院费用,同时还可降低患者的手术率、复发出血率以及死亡率,保障其生命健康安全,可作为紧急救治方案应用于临床。
Objective To explore the clinical effect of emergency integrated green channel curing acute upper gastroin- testinal hemorrhage.Methods One hundred patients with acute upper gastrointestinal hemorrhage treated in our hospital from June 2013 to August 2017 were selected as research objects.The patients were divided into the two groups accord- ing to before and after the establishment of emergency integrated green channel.Forty-six patients before the establish- ment of emergency integrated green channel were taken as the control group,while 54 patients after the establishment of emergency integrated green channel were taken as the research group.Patients in the control group were given the rou- tine emergency curing method, while patients in the research group were given emergency integrated green channel model.Average hemostasis time,mean volume of blood transfusion,average hospitalization period and average hospital cost,and operation rate, recurrent bleeding rate and mortality in patients between the two groups were compared.Results The average hemostasis time and the average hospitalization time in the study group were shorter than those in the con- trol group,the average blood transfusion volume and the average hospitalization cost were less than those in the control group, and the operative rate,recurrent bleeding rate and mortality rate were all lower than those in the control group （P〈0.05）.Conclusion Emergency integrated green channel curing acute upper gastrointestinal hemorrhage not only can control the amount of bleeding effectively,shorten the hospitalization time,reduce the hospital cost,but also can reduce operation rate,recurrent bleeding rate and mortality,which can ensure the health and safety of life of patients,and can be used as an emergency treatment scheme applied in clinic.
作者
赵贤武
ZHAO Xian-wu(Department of Emergency,Shantou Central Hospital in Guangdong Province,Shantou 515000,Chin)
出处
《中国当代医药》
2018年第7期38-40,共3页
China Modern Medicine
关键词
急诊绿色通道
急性上消化道出血
效果分析
Emergency integrated green channel
Acute upper gastrointestinal hemorrhage
Effect analysis
