目的：探讨急诊胃镜检查在上消化道出血诊断与治疗中的价值。方法选择2011年1月~2014年5月我院和汕头潮南民生医院接诊的120例上消化道出血患者进行研究。根据患者的诊断治疗的时间是否小于24h，分为观察组与对照组。观察组60例患者，采用急诊胃镜诊断治疗。对照组60例患者，采用常规的胃镜诊断治疗。比较两组患者的胃镜检查与治疗效果。结果观察组患者与对照组患者一般临床资料相比无统计学差异（P＞0.05）；观察组与对照组检查结果中病因不明的比率5.00%和21.67%，两者比较有统计学意义（x2=7.2115，P=0.0072）；观察组的确诊率明显高于对照组，两者比较有统计学差异（P＜0.05）；观察组与对照组在12h内的止血率为48.33%和18.33%，在12～24h内的止血率为81.66%和68.33%，24h后两组止血率均为100.00%，两组相比较有统计学意义（u=3.1701，P=0.0015）；观察组的输血率明显小于对照组，两组比较有统计学意义（x2=4.6584，P=0.0309）。结论急诊胃镜检查在上消化道出血诊断与治疗中的效果良好，值得临床推广。%Objective To evaluate the value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding.Methods 120 patients with Upper gastrointestinal bleeding from January 2011 to May 2014 in our hospital were researched, according to whether Less than 24h of diagnosis time. They were divided into observation and control groups. Observation group had 60 patients, they were treated by using of emergency endoscopy. Control group had 60 patients, using conventional gastroscope. Two groups' examination and treatment effect were compared.ResultsThere was no significant difference of patients in the control group and the observation group in the clinical data (P>0.05); Cause unknown in the observation group and the control group was 5.00% and 21.67%, there were significant differences compared to each other(x2=7.2115,P=0.0072); diagnosis rate of the observation group were higher than the control group(P<0.05);bleeding rate of 12 hours in the observation group and the control group was 6.00% and 22.00%,at 12 - 24h within was 81.66% and 68.33%,after 24h were 100%,there was a significant difference (u=3.1701,P=0.0015) ; transfusion rate of observation group was lowerer than the control group, there was a significant difference (x2=4.6584,P=0.0309) . Conclusion The efficacy of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding is well. It is worthy of promotion in clinic.
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