Analysis of the efficacy and safety of endoscopic hemostasis under general anesthesia with tracheal intubation and conventional endoscopic hemostasis
气管插管全麻下内镜止血与普通内镜下止血的效果和安全性分析

摘要

目的 分析在消化道急性出血患者的临床治疗方案中应用气管插管全麻下内镜止血与普通内镜下止血的效果。方法 将2022年1月-2023年12月内于本院门诊急诊就诊的80例消化道急性出血患者做试验对象，以随机法分40例对照组普通内镜下止血，40例观察组，气管插管全麻下内镜止血。在不同止血方式差异下，以治疗效果和安全性指标对比治疗价值。结果 观察组止血成功率、72h再出血率等治疗效果优于对照组，指标对比有统计学意义（P﹤0.05）。而在治疗安全性方面，两组无明显差异，（P﹥0.05）。结论 气管插管全麻下内镜止血是有效的止血方式，止血彻底，安全性高。

Abstract

Objective To analyze the effectiveness of endoscopic hemostasis under general anesthesia with endotracheal intubation and conventional endoscopic hemostasis in the clinical treatment of patients with acute gastrointestinal bleeding.
Methods 80 patients with acute gastrointestinal bleeding who were treated in the outpatient emergency department of our hospital from January 2022 to December 2023 were selected as the experimental subjects. They were randomly divided into a control group (n=40) receiving conventional endoscopic hemostasis and an observation group (n=40) receiving endoscopic hemostasis under general anesthesia with endotracheal intubation. Compare the therapeutic value based on treatment efficacy and safety indicators under different hemostatic methods.
Results The success rate of hemostasis and the 72 hour rebleeding rate in the observation group were better than those in the control group, and the comparison of indicators was statistically significant (P<0.05). In terms of treatment safety, there was no significant difference between the two groups (P>0.05).
Conclusion   Endoscopic hemostasis under general anesthesia with endotracheal intubation is an effective method of hemostasis, with complete hemostasis and high safety.