Analysis of efficacy and total complication rates in endoscopic therapy for acute upper gastrointestinal bleeding in the elderly at different time points
不同时机内镜治疗老年急性上消化道出血的疗效及并发症总发生率分析

摘要

目的 分析在老年急性上消化道出血中采用不同时机内镜治疗的价值。方法 将2025年1月-2025年12月内就诊的80例老年急性上消化道出血患者为研究对象，划分40例入院6h内接受治疗为观察组，40例于入院6-12h接受治疗为对照组，对比止血效果和并发症。结果 观察组止血效果优于对照组，指标对比有统计学意义（P﹤0.05）。观察组并发症概率低于对照组，指标对比有统计学意义（P﹤0.05）。结论 老年急性上消化道出血应在入院后内的6h内接受内镜治疗，可以提高止血成功率、降低再出血和并发症概率，降低预后障碍的同时，为尽早转归和消化道功能恢复奠定基础。

Abstract

Objective To analyze the value of endoscopic treatment at different time points in elderly patients with acute upper gastrointestinal bleeding.
Methods A total of 80 elderly patients with acute upper gastrointestinal bleeding admitted from January 2025 to December 2025 were selected as the study subjects. Among them, 40 patients who received treatment within 6 hours of admission were assigned to the observation group, while the remaining 40 patients who received treatment between 6 and 12 hours after admission were assigned to the control group. The hemostasis efficacy and complication rates were compared between the two groups.
Results The hemostasis efficacy of the observation group was superior to that of the control group, with statistically significant differences in the indicators (P < 0.05). The complication rate in the observation group was lower than that in the control group, with statistically significant differences in the indicators (P < 0.05).
Conclusion   Endoscopic treatment should be performed within 6 hours of admission for elderly patients with acute upper gastrointestinal bleeding, as it can improve hemostasis success rates, reduce the likelihood of rebleeding and complications, mitigate prognosis barriers, and lay the foundation for early recovery and gastrointestinal function restoration.