不同时机内镜治疗老年急性上消化道出血对患者临床结局的影响OA

Objective:To explore the impact of endoscopic treatment at different times on the clinical outcomes of elderly patients with acute upper gastrointestinal hemorrhage.Method:A total of 100 patients with acute upper gastrointestinal hemorrhage admitted to Jinjiang Hospital from May 2021 to May 2023 were selected as the subjects,and they were divided into groups according to different treatment methods,endoscopic treatment within 12 h of onset was used as the observation group,and endoscopic treatment within 12 to 24 h of onset was used as the reference group,with 50 cases in each group.The perioperative related indexes,biochemical indexes and clinical outcomes were compared between the two groups.Result:The blood transfusion volume in the observation group was less than that in the control group,and the surgical time,time to stop vomiting blood or black stool,postoperative eating time and hospital stay were shorter than those in the control group(P<0.05).After treatment,the platelet,hemoglobin and serum albumin indicators of the observation group were higher than those of the control group(P<0.05).There were no significant differences in the incidences of rebleeding,transfer to intensive care unit,recurrence and death 30 days after surgery between two groups(P>0.05).Conclusion:Compared with endoscopic treatment within 12 to 24 hours of onset,endoscopic treatment for acute upper gastrointestinal hemorrhage in the elderly within 12 hours of onset can achieve more ideal intervention and hemostasis effects,actively shorten the relevant treatment time.