CAJ | 학술논문

[目的]比较内镜下不同止血措施对非静脉曲张性上消化道出血的治疗效果,探讨其临床治疗意义.[方法]选取2009年9月-2011年9月在我科治疗的140例非静脉曲张性上消化道出血患者,按照治疗方法分为局部喷洒/注射药物组50例,氨气刀组50例,金属钛夹组40例,比较三组患者的临床首次止血,再出血,住院时间的参数.[结果]氩气刀组及金属钛夹组首次止血明显高于局部喷洒/注射药物组(P＜0.05);金属钛夹组再出血低于其他两组(P＜0.05),氩气刀组与局部喷洒/注射药物组首次再出血差异无显著性(P＞0.05);氩气刀组及金属钛夹组有效止血明显高于局部注射药物组(P＜0.05).三组患者住院时间差异无显著性(P＞0.05).[结论]三种治疗方法均有其特点,临床治疗非静脉曲张性上消化道出血应根据病变的范围、特点,选取有效的治疗方式.
[목적]비교내경하불동지혈조시대비정맥곡장성상소화도출혈적치료효과,탐토기림상치료의의.[방법]선취2009년9월-2011년9월재아과치료적140례비정맥곡장성상소화도출혈환자,안조치료방법분위국부분쇄/주사약물조50례,안기도조50례,금속태협조40례,비교삼조환자적림상수차지혈,재출혈,주원시간적삼수.[결과]아기도조급금속태협조수차지혈명현고우국부분쇄/주사약물조(P＜0.05);금속태협조재출혈저우기타량조(P＜0.05),아기도조여국부분쇄/주사약물조수차재출혈차이무현저성(P＞0.05);아기도조급금속태협조유효지혈명현고우국부주사약물조(P＜0.05).삼조환자주원시간차이무현저성(P＞0.05).[결론]삼충치료방법균유기특점,림상치료비정맥곡장성상소화도출혈응근거병변적범위、특점,선취유효적치료방식.
[Objective]To compare the therapeutic effects of different endoscopic interventions on acute nonvariceal upper gastrointestinal bleeding (ANUGB).[Methods]140 patients in our department from September 2009 to September 2011 were selected.These patients were divided into three groups depending on different endoscopic interventions,50 patients in local spray/injection adrenalin group,50 in argon plasma coagulation (APC) group and 40 in endoscopic titanium clips (ETC) group.The clinical effects in 3 groups were analyzed and compared.[Results]APC group and ETC group had higher rate of initial hemostasis than that in local spray/injection adrenalin group (P＜ 0.05).The rebleeding rate in ETC group was significantly lower than those in other two groups (P＜ 0.05).APC group and ETC group had better effective rate of hemostasis (P ＜ 0.05).There were no significant differences in hospital stay in three groups (P ＞ 0.05).[Conclusion]There are different characteristics in 3 therapeutic endoscopic interventions.We should choose appropriate endoscopic intervention to treat ANUGB.