Application effect of emergency medical service in patients with acute upper gastrointestinal hemorrhage / 中国基层医药

ABSTRACT

Objective To discuss the effect of emergency integrated green channel for patients with upper gastrointestinal hemorrhage. Methods From January 2014 to August 2016,182 patients with acute upper gastrointes-tinal hemorrhage were selected in the research. Eighty - four patients with acute upper gastrointestinal hemorrhage before the emergency integrated green channel established in Zhoushan Hospital were selected as control group,while 98 patients with acute upper gastrointestinal hemorrhage after the emergency integrated green channel established in Zhoushan Hospital were selected as research group. The control group received conventional emergency treatment, while the research group received emergency medical service. The average hemostasis time,mean volume of blood transfusion,average hospitalization period,average hospital cost,the operability,recurrence rate of bleeding and mortality rate were compared between the two groups. Results The average hemostasis time,average blood transfusion volume, average hospitalization time and average hospitalization expense in the study group were (4. 52 ± 1. 24)h,(352. 37 ± 17. 35)mL,(6. 02 ± 0. 89) d,(5346. 84 ± 338. 76) yuan,respectively,which in the control group were (9. 43 ± 2. 04)h,(512. 72 ± 15. 3)mL,(9. 24 ± 1. 16)d and (7012. 38 ± 422. 12)yuan,respectively,there were statistically significant differences between two groups(t = 19. 921,65. 542,21. 160,29. 517,all P < 0. 05). The operative rate, recurrence rate and mortality rate in the study group were 2. 04％ (2 / 98),3. 06％ (3 / 98) and 2. 04％ (2 / 98), respectively,which were significantly lower than those in the control group [8. 33％ (7 / 84),9. 52％ (8 / 84) and 5. 96％ (4 / 84)], the differences were statistically significant ( χ2 = 71. 202,67. 455,74. 195, all P < 0. 01). Conclusion Application of emergency medical service in patients with acute upper gastrointestinal hemorrhage not only can control bleeding effectively,decrease blood transfusion,hospitalization period and hospital cost,but also can reduce operability,recurrence rate of bleeding and mortality rate,which can serve as an emergency treatment plan applying to clinic.