基层医院在诊治消化性溃疡合并出血方面的差距.PDFVIP

# 2 93# # # 基层医院在诊治消化性溃疡合并出血方面的差距 顾 莹, 周丽雅 = 分析基层医院与三级 等医院在消化性溃疡合并出血诊治方面的差距 选择 2000年 1月 ) 2010年 6月因消化性溃疡合并出血入住北京市普仁医院 (普仁医院) 治疗的 61例患者为病例组, 按成组匹配原则 选取北京大学第三医院 ( 北医三院) 住院的 122例患者为对照组, 回顾性分析两组胃镜检查, 幽门螺杆菌肿瘤标记 物检测, 治疗及预后情况 两组胃镜检出率幽门螺杆菌检出率肿瘤标记物检查率质子泵抑制剂使用率比 较, 差异均有统计学意义 (P 0101) 两组住院期间再出血率比较, 差异无统计学意义 (P 0105); 而便隐血阴转时 间分布比较, 差异有统计学意义 (P 0105) 基层医院在急诊胃镜检查率药物治疗以及幽门螺杆菌的检测及 根除幽门螺杆菌治疗方面与三级 等医院相比均有差距, 三级 等医院患者住院期间便隐血转阴时间较短 = 消化性溃疡出血; 胃镜检查; 治疗 = R 6561621 = B = 100 - 95 2 ( 2011) 08- 2 93- 02 TheGap between GrassrootsHospitalsandUpperFirst- ClassHospitalsin theDiagnosisand TreatmentofPepticUlcer Bleeding G U Ying, ZH OU L i- ya 1D ep artm ent of Gastroenterology, B eij ing P uren H osp ital, B eij ing 100062, Ch ina =Abstract Objective To analyze the gap between grassrootshospitals and upper first- classhosp itals in the d iagnosis and treatm ent of peptic u lcer bleed ing1 ethods Sixty- one patients hospitalized at Puren Hospital from January 2000 to June 2010 due to peptic ulcer bleedingw ere enrolled as the case group, wh ile 122 matched patients at theTh irdHosp ital of Pek ingU- n iversity w ere enrolled as controls1Retrospective analysisw ere carried out concern ing endoscop ic features, Helicobacter pylori in- fection, tum orm arker evaluation, treatm ent and prognosisof the two groups1Results Detection rate of endoscopy, Helicobacter pylor,i and tumormarker evaluation togetherw ith proton pump inh ib itor usage between the tw o groups show ed sign ificant differ- ences (P 0101) 1Rebleeding rate during hospital stay bewt een the two groups show ed no sign ificant difference (P 0105). T mi espan distribution for the negative conversion of occu lt bloodw as significantly d ifferent bewt een