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| Effect of preventive hemostatic clip on preventing delayed bleeding after gastric polypectomy |
| LIU Tao HUA Chuanzeng HU Wenhai WANG Guizhou |
| Department of Gastroenterology, Fuyang Women and Children’s Hospital, Anhui Province, Fuyang 236000, China |
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Abstract Objective To investigate the clinical effect of preventive hemostatic clip on preventing delayed bleeding after gastric polypectomy. Methods A total of 100 patients who underwent gastric polypectomy in Fuyang Women and Children’s Hospital, Anhui Province from September 2018 to January 2020 were selected and divided into control group and observation group, with 50 patients in each group, according to whether preventive hemostatic clip treatment was performed. The control group received conventional drug treatment, and the observation group received conventional drug and hemostatic clip treatment. Intraoperative hemostasis, postoperative delayed bleeding rate, fecal occult blood transfusion and discharge time, postoperative vital signs and hemoglobin concentration, and complications were compared between the two groups. Results There was no significant difference in the immediate hemostasis rate between the observation group and the control group (P ＞ 0.05). The effective hemostasis rate in the observation group was higher than that in the control group, and the duration of intraoperative hemostasis was shorter than that in the control group, with statistically significant differences (all P < 0.05). The delayed bleeding rate in the observation group was lower than that in the control group, and the time of fecal occult blood transfusion and the time of hospitalization were shorter than those in the control group, with statistically significant differences (all P < 0.05). The overall analysis showed that the intergroup comparison, time point comparison and interaction difference were highly significant (all P < 0.01). Intra-group comparison: systolic blood pressure increased and heart rate decreased 24 and 48 h after surgery compared with 12 h after surgery; while systolic blood pressure increased and heart rate decreased 48 h after surgery compared with 24 h after surgery, with statistically significant differences (all P < 0.05). The diastolic blood pressure in the observation group increased 24 and 48 h after surgery compared with 12 h after surgery, and increased 48 h after surgery compared with 24 h after surgery, while the diastolic blood pressure in the control group increased 48 h after surgery compared with 12 and 24 h after surgery, with statistically significant differences (all P < 0.05). The hemoglobin level was increased at three and five days after surgery compared with that at one day after surgery, and increased at five days after surgery compared with that at three days after surgery, with statistically significant differences (all P < 0.05). Comparison between groups: The systolic blood pressure and diastolic blood pressure of the observation group were higher than those of the control group at 12, 24 and 48 h after surgery, the heart rate was lower than that of the control group, and the hemoglobin level was higher than that of the control group at one, three and five days after surgery, with statistically significant differences (all P < 0.05). There were no serious complications in both groups after surgery. Conclusion The use of preventive hemostatic clips in gastric polypectomy can effectively stop bleeding and prevent delayed bleeding.
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