不同时机内镜治疗急性上消化道出血的效果及对止血时间、再次出血率和SF-36评分的影响

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中图分类号：R573.2 文献标识码：A

Abstract：Obectiemarethoffrettiingofdosictreamntofuteupprstrotestialbldds hemostasistibleedingatedSF6eetsAotaloftitsiteprstrotestialleddmtdn CountyHospitalofIntegatedTraditioalChineseandWesteMediciefroJuly2toJue4wereselectedasthereseachetsey weredivideditootrolgoupndtudyoupbyadoumbetableetodithpatientsinachoup.esudygoupastratedih endoscopywithinhfosetiletecotrolgoupastreatedwitdoopwitin-hfoseteliicalfcacyaityoflie （otioalclialalllalalaal indicators（moasisibledingateditorycatositelodcelltutroilatiouoicto -α （TNF- ∇⋅α∝ ） intelukin8（ereompadetweoossultseotaltiatefreaeinudyoupasiratin the control group（ P<0.05） .After treatment，thequality of life scores of the study group were higher than those of the control group（ P<0.05） .The hemostasis time and rebleeding rate of the study group were lower than those of the control group （ P< 0.05）.After treatment，thelevelsofinflammatory indexesnthetoosehigerantoeeforetreamtutevelsofifaatodesitdyoeeraen the control group（ P<0.05） .Conclusion Compared with endoscopic treatment within 6-12hofonset，endoscopic treatment within6hofonset has eterclinicalatutetapalife andrebleedingrate，as well asreduce the postoperative inflammatory response.Itis worthyof clinicalapplication.

KeyWords：Endoscopic treatment timing;Acute upper gastrointestinal bleeding;Hemostasis time；Rebleedingrat

急性上消化道出血（acuteupper gastrointestinalbleeding）作为临床急重症，是由胰胆管、胃、十二指肠、食管等屈氏韧带以上部位病变所诱发的急性出血，以黑便、呕血等为主要临床表现，该病病情变化迅速，特别是急性大出血患者易引发出血性休克，若得不到及时有效的治疗，会威胁患者生命安全。（剩余5281字）