急诊一体化绿色通道救治急性上消化道出血效果分析.docVIP

急诊一体化绿色通道救治急性上消化道出血效果分析 　　[摘要]目的 探?急诊一体化绿色通道救治急性上消化道出血的临床效果。方法 选取2013年6月～2017年8月我院收治的100例急性上消化道出血患者作为研究对象，根据急诊一体化绿色通道建立前后将患者分为两组，以急诊一体化绿色通道建立前的46例患者作为对照组，急诊一体化绿色通道建立后的54例患者作为研究组。对照组患者均采用常规急诊救治方法进行抢救，研究组患者采用急诊一体化绿色通道模式进行抢救。比较两组患者的平均止血时间、平均输血量、平均住院时间和平均住院费用，手术率、复发出血率以及死亡率。结果 研究组患者的平均止血时间、平均住院时间均明显短于对照组，平均输血量明显少于对照组，平均住院费用明显低于对照组，手术率、复发出血率及死亡率均低于对照组（P0.05）。结论 急诊一体化绿色通道救治急性上消化道出血，可有效控制患者的出血量，缩短住院时间，降低住院费用，同时还可降低患者的手术率、复发出血率以及死亡率，保障其生命健康安全，可作为紧急救治方案应用于临床。 　　[关键词]急诊绿色通道；急性上消化道出血；效果分析 　　[中图分类号] R573.2 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0038-03 　　Effect analysis of emergency integrated green channel curing acute upper gastrointestinal hemorrhage 　　ZHAO Xian-wu 　　Department of Emergency，Shantou Central Hospital in Guangdong Province，Shantou 515000，China 　　[Abstract]Objective To explore the clinical effect of emergency integrated green channel curing acute upper gastrointestinal hemorrhage.Methods One hundred patients with acute upper gastrointestinal hemorrhage treated in our hospital from June 2013 to August 2017 were selected as research objects.The patients were divided into the two groups according to before and after the establishment of emergency integrated green channel.Forty-six patients before the establishment of emergency integrated green channel were taken as the control group，while 54 patients after the establishment of emergency integrated green channel were taken as the research group.Patients in the control group were given the routine emergency curing method，while patients in the research group were given emergency integrated green channel model.Average hemostasis time，mean volume of blood transfusion，average hospitalization period and average hospital cost，and operation rate， recurrent bleeding rate and mortality in patients between the two groups were compared.Results The average hemostasis time and the average hospitalization time in the study group were shorter than those in the control group，the average blood transfusion volume and the average