非甾体类抗炎药所致上消化道出血胃镜特点分析

目的：分析非甾体类抗炎药（NSAIDs）引起的消化道出血患者的胃镜下病变特点。方法：选择69例上消化道出血患者，根据发病前1周是否使用NSAIDs分为观察组及对照组，比较两组胃镜检查的病变部位及性质的差异。结果：观察组十二指肠病变率为55．9％，对照组十二指肠病变率为80．0％，观察组十二指肠病变率低于对照组。观察组溃疡发生率为38．2％，对照组溃疡发生率为62．8％，观察组溃疡发生率低于对照组，观察组糜烂性病变发生率为61．8％。对照组糜烂性病变发生率为37．1％，观察组糜烂性病变发生率高于对照组。结论：NSAIDs后所致上消化道出血主要以胃部糜烂为主要病变特征。

Gastroscope characteristic of alimentary tract hemorrhage coused nonsteroidal anti-inflammatory drug

Objective： To analyze the gastroscope characteristic of alimentary tract hemorrhage coused non-steroidal anti- inflammatory drug. Methods： 60 cases of patients with alimentary tract hemorrhage were selected and divided into observation group and control group acording to take non-steroidal anti-inflammatory drug （NSAIDs） whether or not, affection position, character were contrasted between observation group and control group. Results： Incident rate of affection position in duodenum was 55.9% in observation group and was 80.0% in control group, incident rate of affection position in duodenum was lesser in observation group than in control group, incident rate of ulcer was 38.2% in observation group and was 62.8% in control group, incident rate of ulcer was lesser in observation group than in control group, incident rate of mucous membrane erosion was 61.8% in observation group and was 37.1% in control group, incident rate of mucous membrane erosion was more in observation group than in control group. Conclusion： Multiple mucous membrane erosion is major characteristic of of alimentary tract hemorrhage coused NSAIDs.