摘要
目的:探讨内镜止血在治疗急性非静脉曲张性上消化道出血治疗中的临床价值,为临床应用提供参考。方法:收集我院自2011年1月至2013年12月收治的200例急性非静脉曲张性上消化道出血患者,随机分成治疗组和对照组,每组各100例。治疗组采用内镜下金属钛夹止血治疗,对照组采用内镜下药物注射治疗。观察并分析比较2组患者的临床有效率和并发症发生情况。结果:治疗组患者的即时止血率为100%,有效止血率为96.0%,72 h后出血率为2.0%,外科手术率为2.0%;对照组患者的即时止血率为93.0%,有效止血率为85.0%,72 h后止血率为4.0%,外科手术率为10.0%。2组患者治疗结果比较差异具有统计学意义(P<0.05),2组患者均未出现穿孔等并发症。结论:内镜下2种方法均可以治疗急性非静脉曲张性上消化道出血,但是金属钛夹止血法优于药物注射疗法。
Objective： To explore the clinical value of endoscopic hemostasis in the treatment of acute upper gastrointestinal bleeding of non Varices,to provide reference for clinical application. Methods： 200 cases of acute upper gastrointestinal hemorrhage of non varicose veins from January 2011 to December 2013 were randomly divided into treatment group and control group,Each group（ n = 100）. The treatment group was treated with endoscopic metal titanium clips for hemostasis,the control group was treated with endoscopic injection drugs. The clinical observation and comparative analysis on efficiency and complications in two groups were done. Results： Instant hemostasis rate was 100% in treatment group,effective hemostasis rate was96. 0%,hemorrhage rate after 72 h was 2. 0%,Surgery rate was 2. 0%; instant hemostasis rate in control group was 93. 0%,effective hemostasis rate was 85. 0%,the bleeding rate after 72 h was 4. 0%,Surgery rate was10. 0%. Compared the results in two groups,there was a statistically difference significantly（ P 0. 05）,in two groups there was no complications such as perforation。Conclusion： The two methods with endoscope all can treat the acute upper gastrointestinal bleeding of non varices,But the titanium clamp hemostasis is better than that of drug injection therapy.
出处
《现代临床医学》
2014年第6期426-427,共2页
Journal of Modern Clinical Medicine
