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目的:对急性下消化道出血患者采用急诊结肠镜检查措施,并探讨其临床诊断效果。方法:抽取我院2015年4月-2016年4月本院收治的140例急性下消化道出血的患者作为研究对象,依据数字表法将其随机分为观察组(n=70)与对照组(n=70),观察组患者予以急诊结肠镜检查措施,对照组患者予以常规结肠镜检查措施。观察两组患者的临床诊断及治疗效果。结果:观察组患者的诊断率82.9%明显高于对照组的68.6%,组间比较差异具有统计学意义(P<0.05);观察组患者的平均输血量(283.6±34.5)ml以及平均住院天数(6.5±1.4)d均显著低于对照组的(469.5±42.7)ml、(7.9±1.5)d,组间比较差异具有统计学意义(P<0.05)。结论:对急性下消化道出血患者采用急诊结肠镜检查措施较常规结肠镜检查可达到更高的有效诊断率,及时找出了患者的出血部位以及原因,提高了治疗的安全性,缩短了治疗时间,临床意义显著。
Objective: To adopt emergency colonoscopy in patients with acute lower gastrointestinal bleeding and to investigate its clinical diagnosis. Methods: A total of 140 patients with acute lower gastrointestinal hemorrhage admitted to our hospital from April 2015 to April 2016 were selected as subjects and randomly divided into observation group (n = 70) and control group according to the digital meter method (n = 70). The patients in the observation group were given emergency colonoscopy and the patients in the control group were given routine colonoscopy. Observe the clinical diagnosis and treatment effect of two groups of patients. Results: The diagnostic rate of observation group was significantly higher than that of control group (82.9% vs 68.6%, P <0.05). The average blood transfusion volume (283.6 ± 34.5) ml and average length of stay in observation group (6.5 ± 1.4) d were significantly lower than those in the control group (469.5 ± 42.7) ml and (7.9 ± 1.5) d, respectively. There was significant difference between the two groups (P <0.05). Conclusion: The emergency colonoscopy in patients with acute lower gastrointestinal bleeding can achieve a higher effective diagnosis rate than conventional colonoscopy, find out the bleeding site and the reasons for the patients in time, improve the safety of treatment and shorten the treatment Time, clinical significance.