中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
15期
51-52
,共2页
胃镜%非静脉曲张性上消化道出血%药物注射%药物喷洒
胃鏡%非靜脈麯張性上消化道齣血%藥物註射%藥物噴灑
위경%비정맥곡장성상소화도출혈%약물주사%약물분쇄
Gastroscope%Nonvariceal upper gastrointestinal hemorrhage%Drug injection%Drug spraying
目的：基于“以人文本”医学理念，探索非静脉曲张性上消化道出血治疗中，经急诊胃镜下采用药物注射与药物喷洒治疗两种方法的治疗效果。方法使用随机平行对照方法，将58例非静脉曲张性上消化道出血患者按掷骰子法随机分为两组，对照组29例行急诊胃镜下行去甲肾上腺素喷洒治疗，观察组29例行经急诊胃镜下行药物注射治疗，观察两种治疗方法患者止血情况、不良反应、血红蛋白水平。结果采用经急诊胃镜下行药物注射治疗的止血效果比药物喷洒治疗效果更佳；对照组不良反应发生率为31.03%，观察组不良反应发生率为10.34%；两种治疗方法在血红蛋白水平改善中均明显效果，但经急诊胃镜下行药物注射治疗的改善效果更加明显。结论坚持“以人为本”观念的引导，探讨急性非静脉曲张性上消化道出血治疗成为重点课题，而经急诊胃镜下采用药物注射其效果更佳，且安全性非常高，是急性非静脉曲张性上消化道出血治疗的重要方法。
目的：基于“以人文本”醫學理唸，探索非靜脈麯張性上消化道齣血治療中，經急診胃鏡下採用藥物註射與藥物噴灑治療兩種方法的治療效果。方法使用隨機平行對照方法，將58例非靜脈麯張性上消化道齣血患者按擲骰子法隨機分為兩組，對照組29例行急診胃鏡下行去甲腎上腺素噴灑治療，觀察組29例行經急診胃鏡下行藥物註射治療，觀察兩種治療方法患者止血情況、不良反應、血紅蛋白水平。結果採用經急診胃鏡下行藥物註射治療的止血效果比藥物噴灑治療效果更佳；對照組不良反應髮生率為31.03%，觀察組不良反應髮生率為10.34%；兩種治療方法在血紅蛋白水平改善中均明顯效果，但經急診胃鏡下行藥物註射治療的改善效果更加明顯。結論堅持“以人為本”觀唸的引導，探討急性非靜脈麯張性上消化道齣血治療成為重點課題，而經急診胃鏡下採用藥物註射其效果更佳，且安全性非常高，是急性非靜脈麯張性上消化道齣血治療的重要方法。
목적：기우“이인문본”의학이념，탐색비정맥곡장성상소화도출혈치료중，경급진위경하채용약물주사여약물분쇄치료량충방법적치료효과。방법사용수궤평행대조방법，장58례비정맥곡장성상소화도출혈환자안척투자법수궤분위량조，대조조29례행급진위경하행거갑신상선소분쇄치료，관찰조29례행경급진위경하행약물주사치료，관찰량충치료방법환자지혈정황、불량반응、혈홍단백수평。결과채용경급진위경하행약물주사치료적지혈효과비약물분쇄치료효과경가；대조조불량반응발생솔위31.03%，관찰조불량반응발생솔위10.34%；량충치료방법재혈홍단백수평개선중균명현효과，단경급진위경하행약물주사치료적개선효과경가명현。결론견지“이인위본”관념적인도，탐토급성비정맥곡장성상소화도출혈치료성위중점과제，이경급진위경하채용약물주사기효과경가，차안전성비상고，시급성비정맥곡장성상소화도출혈치료적중요방법。
Objective To compare the curative effect between drug injection and drug spraying under emergency gastroscope in the treatment of nonvariceal upper gastrointestinal hemorrhage based on the "people-oriented" medical concept. Methods Using ran-dom parallel control method, 58 cases of nonvariceal upper gastrointestinal hemorrhage were randomly divided into two groups by dice method, 29 cases in the control group were given norepinephrine spraying treatment under routine emergency gastroscope, and 29 cases in the observation group were given drug injection treatment under emergency gastroscope. The hemostatic situation, ad-verse reactions, hemoglobin level of these two groups of patients were observed. Results The hemostatic effect of drug injection treatment under emergency gastroscope was better than that of norepinephrine spraying treatment under emergency gastroscope;the incidence of the control group was 31.03%, while that of the observation group was 10.34%;both methods could improve the hemoglobin level significantly, but the effect of drug injection treatment under emergency gastroscope was better. Conclusion Ad-hering to the guidance of "people-oriented" concept, exploring the treatment of nonvariceal upper gastrointestinal hemorrhage has become a key topic; the treatment effect of drug injection under emergency gastroscope is better, the safety is higher, it is an im-portant method for the treatment of acute nonvariceal upper gastrointestinal hemorrhage.
