紧急内镜干预急性上部胃肠道出血:一个队列研究
Anna Mackiewicz-Pracka1, Piotr Nehring1, Adam Przybyłkowski1
1Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.
Diagnostics (Basel, Switzerland)
|December 9, 2023
概括
对于急性上部胃肠道出血 (AUGIB) 的紧急治疗性胃镜,白天和晚上同样有效. 对于AUGIB治疗,最好的结果是在症状出现6小时后进行内镜检查时得到的.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 内镜检查是指内镜检查.
背景情况:
- 急性上部胃肠道出血 (AUGIB) 是急诊室访问的常见原因之一.
- 上部胃肠道内镜是AUGIB的标准诊断和治疗方法.
- 与白天手术相比,夜间紧急内镜的疗效存在有限的研究.
研究的目的:
- 评估夜间AUGIB紧急治疗性胃镜的有效性.
- 为了比较白天与夜间紧急内镜治疗AUGIB治疗的结果.
主要方法:
- 一项回顾性队列研究分析了接受紧急内镜检查的AUGIB成年患者.
- 根据胃镜检查时间,患者被分为白天小时和夜晚小时组.
- 主要终点是120天全因死亡率;次要终点包括静血和复发.
主要成果:
- 160名患者接受了夜间内镜检查 (下午10点至早上8点),而592人接受了白天的手术 (上午8点至晚上10点).
- 夜间内镜的血液静止时间较短 (p < 0.001).
- 各种原因的死亡率在各组之间没有显著差异,尽管在夜间组中更高.
结论:
- 对AUGIB的紧急治疗性胃镜在白天和夜晚都显示出类似的有效性.
- 从症状发作六小时后的内镜干预与改善的结果有关.
- 及时干预至关重要,在5小时前治疗的结果较差.
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