实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
4期
28-30
,共3页
内镜注射%出血,上消化道溃疡%组织黏合剂%埃索美拉唑
內鏡註射%齣血,上消化道潰瘍%組織黏閤劑%埃索美拉唑
내경주사%출혈,상소화도궤양%조직점합제%애색미랍서
endoscopic injection%bleeding,upper gastrointestinal ulcer%tissue adhesive%esomeprazole
目的:探讨内镜下注射组织黏合剂联合埃索美拉唑治疗上消化道溃疡出血的疗效。方法96例上消化道溃疡出血患者,按照入院先后顺序分为观察组(M组)和对照组(N组),每组48例。 M组给予内镜下注射组织黏合剂联合埃索美拉唑,N组给予静脉点滴埃索美拉唑联合口服去甲肾上腺素。比较2组首次止血成功率和再出血率及并发症发生情况。结果 M组首次止血成功率(100.0%)明显高于N组(87.5%),再出血率(2.1%)明显低于N组(10.4%)(均P<0.05);2组均无异位栓塞、胃食管穿孔发生,均无死亡病例。结论内镜下注射组织黏合剂联合埃索美拉唑治疗上消化道溃疡出血,效果显著,操作简单,并发症少。
目的:探討內鏡下註射組織黏閤劑聯閤埃索美拉唑治療上消化道潰瘍齣血的療效。方法96例上消化道潰瘍齣血患者,按照入院先後順序分為觀察組(M組)和對照組(N組),每組48例。 M組給予內鏡下註射組織黏閤劑聯閤埃索美拉唑,N組給予靜脈點滴埃索美拉唑聯閤口服去甲腎上腺素。比較2組首次止血成功率和再齣血率及併髮癥髮生情況。結果 M組首次止血成功率(100.0%)明顯高于N組(87.5%),再齣血率(2.1%)明顯低于N組(10.4%)(均P<0.05);2組均無異位栓塞、胃食管穿孔髮生,均無死亡病例。結論內鏡下註射組織黏閤劑聯閤埃索美拉唑治療上消化道潰瘍齣血,效果顯著,操作簡單,併髮癥少。
목적:탐토내경하주사조직점합제연합애색미랍서치료상소화도궤양출혈적료효。방법96례상소화도궤양출혈환자,안조입원선후순서분위관찰조(M조)화대조조(N조),매조48례。 M조급여내경하주사조직점합제연합애색미랍서,N조급여정맥점적애색미랍서연합구복거갑신상선소。비교2조수차지혈성공솔화재출혈솔급병발증발생정황。결과 M조수차지혈성공솔(100.0%)명현고우N조(87.5%),재출혈솔(2.1%)명현저우N조(10.4%)(균P<0.05);2조균무이위전새、위식관천공발생,균무사망병례。결론내경하주사조직점합제연합애색미랍서치료상소화도궤양출혈,효과현저,조작간단,병발증소。
Objective To investigate the efficacy of endoscopic injection of tissue adhesive combined with esomeprazole in the treatment of upper gastrointestinal ulcer bleeding. Methods Ninety-six patients with upper gastrointestinal ulcer bleeding were divided into two groups according to the order of admission, with 48 patients in each group. The group M was given endoscopic injection of tissue adhesive combined with esomeprazole, but group N was given esomeprazole combined with norepinephrine. Hemostasis success rate on the first attempt, rebleeding rate and complications were compared between the two groups. Results Compared with group N, hemostasis success rate on the first attempt significantly increased and rebleeding rate significantly decreased in group M (100.0% vs 87.5%and 2.1%vs 10.4%, respectively; P<0.05). No ectopic embolism, gastrointestinal perforation and death occurred in both groups. Conclusion Endoscopic injection of tissue adhesive combined with esomeprazole is effective and simple and results in fewer complications in the treatment of upper gastrointestinal ulcer bleeding.