探讨内镜止血在急性非静脉曲张性上消化道出血治疗中的临床疗效

目的：探讨内镜止血在急性非静脉曲张性上消化道出血治疗中的临床疗效。方法：选取2013年6月-2014年6月本院收治的68例急性非静脉曲张性上消化道出血患者,随机数字表法分为对照组和观察组,每组34例,对照组给予常规内科止血治疗,观察组在对照组的基础上给予内镜止血治疗。比较两组的止血成功率、住院时间、出血停止时间、肠鸣音恢复时间。结果：观察组止血成功率（94.1%）高于对照组（61.8%）,比较差异具有统计学意义（P〈0.05）。观察组住院时间、出血停止时间、肠鸣音恢复时间短于对照组,比较差异具有统计学意义（P〈0.05）。结论：急性非静脉曲张性上消化道出血采取内镜止血治疗方法操作简单、止血效果显著,安全可靠,值得临床推广使用。

Clinical Efficacy of Therapeutic Endoscopy for Acute Non-variceal Upper Gastrointestinal Bleeding

Objective： To investigate the clinical efficacy of therapeutic endoscopy for acute non-variceal upper gastrointestinal bleeding. Method： From June 2013 to June 2014 of our hospital, 68 acute non-variceal upper gastrointestinal bleeding patients were randomly divided into control group and observation group, each group contained 34 cases. The control group received conventional medical treatment, while observation group received endoscopic hemostasis. Rate of hemostatic success, hospital stay, time to stop bleeding, bowel sounds recovery time was compared. Result： Rate of hemostatie success of the observation group （ 94.1% ） was higher than that of the control group （ 61.8% ）, with a statistically significant difference （P〈0.05） , Hospital stay, time to stop bleeding, bowel sounds recovery time of the observation group was shorter than that of the control group, with a statistically significant difference （ P〈0.05 ） . Conclusion： Endoscopic hemostasis is an efficient, safe, useful and convenient way to the therapy of acute non-variceal tipper gastrointestinal bleeding, and worthy of wider application.