Retrospective Analysis Of Clinical Data Of Single Center Upper Gastrointestinal Bleeding

Objective Through statistics and analysis of general data,medical history data,and treatment status of UGIB inpatients in the Affiliated Hospital of Inner Mongolia Medical University in the past 10 years,to explore the UGIB in our hospital Changes in the cause of the disease,as well as clinical characteristics such as the diagnosis and treatment of UGIB,and the mortality rate.Methods Retrospectively select general and clinical data of UGIB patients hospitalized in the Affiliated Hospital of Inner Mongolia Medical University from January 2010 to January 2020,and analyze gender composition,occupation,ethnicity,and age[youth group(age≤40 years old),middle-aged group(age>40 years old and≤60 years old),elderly group(age>60 years old)]the relationship with UGIB,collect information about treatment methods,whether blood transfusion,average days of hospitalization,and whether there is death in the hospital,etc.,analyze the etiology,composition,treatment and prognosis of UGIB patients in our hospital.The expression of this data is (?)±S,which is mean±standard deviation.Chi-square(X~2)test was used for comparison between groups,P<0.05 means the difference was statistically significant.Results(1)Basic information:A total of 2456patients were enrolled Group,the male to female incidence ratio is about 2:1,the difference between the youth group is the most obvious,and it is negatively correlated with the increase in age.Average age of onset:males are 65.8±14.9 years old,females are 65.4±15.2 years old,there is no significant difference in the age of onset between men and women in the same age group;the incidence rate in the elderly group is 67.2%(1650 cases),and the middle-aged group is 26.2%(622 cases),6.6%(162 cases)in the youth group.(2)Clinical data:The mortality rate of UGIB in our hospital is about 4.6%(112 cases).The death toll in the elderly group accounts for 78.6%of the total deaths.The death rate increases with age.The main causes of death in both middle-aged and elderly groups are EGVB.The success rate of drug-only hemostasis in UGIB patients in our hospital is 54.4%,and the elderly composition has a high power.The endoscopic,interventional,and surgical intervention rates in the middle-aged group are higher than those of the other two age groups.The UGIB blood transfusion rate in our hospital is 31.5%,and the ratio of the young and middle-aged groups is similar.The blood transfusion rate of elderly patients is low,and it is negatively correlated with the increase of age.The average length of hospital stay showed similar changes,with the elderly group being the shortest and the young group being the longest.(3)Etiological composition:PU still accounts for the first cause of UGIB in our hospital,accounting for 28.7%(706 cases),and EGVB is second,accounting for 26.8(657cases),acute gastric mucosal lesions It was the third place with 13.2%(323 cases),followed by unexplained gastrointestinal bleeding accounting for 12.6%(311 cases),upper gastrointestinal malignant tumors ranked fifth with 10.2(250 cases),cardia mucosa tear Symptoms accounted for 5.0%(123 cases).(4)Etiology and age:The most common causes of different age groups are different.The most common cause is PU in the youth group and the elderly group,and the most common cause in the middle-aged group is EGVB.The incidence of peptic ulcer in the youth group is 51.2%,which is significantly higher.In the other two age groups;in the EGVB etiology group,the middle-aged group has a higher incidence rate.The other two groups have no significant difference in the incidence rate between the young and elderly groups.The bleeding caused by malignant tumors of the upper gastrointestinal tract is increasing with age,and the reason is unknown.The rate of gastrointestinal bleeding also showed similar changes;among the causes of UGIB,the incidence of acute gastric mucosal lesions was highest in the young group,followed by the elderly group,and the lowest in the middle-aged group.(5)Etiology and gender,occupation,and ethnicity:The incidence of the five common causes of UGIB has no obvious correlation with gender and occupation;the incidence of Mongolian in the EGVB etiology group is higher than that of other ethnic groups,and the incidence is similar to that of Han;Mongolian and Han The bleeding rate caused by malignant tumors of upper gastrointestinal tract is higher than that of other ethnic groups,and there is no significant difference in the incidence of other etiological groups among ethnic groups.Conclusion(1)PU is the most common cause of UGIB in our hospital,followed by ERVB.(2)PU is the main cause of bleeding in the young and elderly groups,and EDVB in the middle-aged group;UGIB caused by malignant tumors of the upper gastrointestinal tract in our hospital Increasing with age.(3)There are differences in treatment methods between different age groups.The rate of drug treatment in the elderly group is higher than that of the other two groups.The rate of endoscopic,interventional,and surgical treatment is the highest in the middle-aged group,and the lowest in the elderly.(4)The mortality rate of UGIB patients in our hospital is increasing with age.