Objective To explore the effect of argon plasma coagulation (APC) under digestive endoscope in treatment of gastroduodenal hemorrhage.
Methods Totally 70 patients with gastroduodenal hemorrhage were selected. According to surgical methods, the patients were divided into control group and observation group, with 35 cases in each group. The control group was treated by injection under digestive endoscope, while the observation group was treated by APC under digestive endoscope. The curative effect, hospitalization time, blood transfusion volume, bleeding volume, hemostasis time and the incidence rate of complications were compared between two groups.
Results The total effective rate of the observation group was 97.14%, which was significantly higher than 80.00% of the control group (P < 0.05). The hospitalization time and hemostasis time of the observation group were (5.45±0.64) days and (1.77±0.20) days, which were significantly shorter than (8.95±0.82) days and (3.20±0.46) days of the control group (P < 0.05). The blood transfusion volume and the amount of blood transfusion in the observation group were (423.16±45.61) mL and (388.68±42.44) mL, which were significantly less than (804.28±86.90) mL and (521.52±57.14) mL in the control group (P < 0.05). The incidence rate of complications in the observation group was 5.71%, which was significantly lower than 25.71% in the control group (P < 0.05).
Conclusion APC under digestive endoscopy is effective in treatment of gastroduodenal hemorrhage, which can stop bleeding quickly and reduce incidence of complications.
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