ÁP DỤNG THANG ĐIỂM T- SCORE TRONG TIÊN LƯỢNG VÀ XỬ TRÍ XUẤT HUYẾT TIÊU HÓA Ở BỆNH NHÂN LOÉT DẠ DÀY TÁ TRÀNG

Abstract

Objectives: Describe the clinical and paraclinical characteristics of patients with gastrointestinal bleeding due to peptic ulcers at Nghe An General Hospital in 2023. Research Methods: Cross-sectional descriptive study with analysis. Results: Study of 70 patients diagnosed with gastrointestinal bleeding due to peptic ulcers treated at the Department of Gastroenterology, Nghe An General Hospital. Information was collected by examination and pre-designed medical records. Results: The male/female ratio was 2.2/1; The most common age group was 50-69 years old (50%). There was a relationship between T-score and the time of endoscopy; Endoscopic interventional hemostasis and blood transfusion treatment in the high-risk and intermediate-risk groups were higher than in the low-risk group, p<0.05. The mean T-score of the group of patients with endoscopic intervention (5.5±1) was lower than that of the group without intervention (8.2±1.9) with p=0.019. The rate of recurrent bleeding was 5.7%. No correlation was found between the T-score and the rate of recurrent bleeding during treatment. Conclusion: Gastrointestinal bleeding due to peptic ulcer is a common medical and surgical emergency. Timely diagnosis and treatment reduces mortality, the rate of recurrent bleeding, the rate of patients requiring blood transfusion, the length of hospital stay and the cost of treatment. The clinically applied T-score is valuable in predicting the need for blood transfusion, endoscopic interventional hemostasis and rebleeding in patients with gastrointestinal bleeding due to peptic ulcer.