中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
90-90,92
,共2页
奥曲肽%云南白药%急性上消化道出血%临床观察
奧麯肽%雲南白藥%急性上消化道齣血%臨床觀察
오곡태%운남백약%급성상소화도출혈%림상관찰
Octreotide%Yunnan Baiyao%acute upper gastrointestinal bleeding%Clinical observation
目的：探讨奥曲肽联合云南白药治疗急性上消化道出血的临床疗效。方法：2011年4月-2013年12月收治急性上消化道出血患者90例，随机分为治疗组和对照组，各45例。对照组给予泮托拉唑40 mg静滴，治疗组在对照组的基础上加用奥曲肽注射液0.1 mg缓慢静脉推注，继之以25μg/h持续静滴，同时口服云南白药1.5 g，3次/日。观察两组治疗效果。结果：治疗组总有效率91.11%，对照组总有效率77.78%，治疗组总有效率明显高于对照组，差异具有统计学意义(P＜0.05)。结论：奥曲肽联合云南白药治疗急性上消化道出血疗效显著，值得推广。
目的：探討奧麯肽聯閤雲南白藥治療急性上消化道齣血的臨床療效。方法：2011年4月-2013年12月收治急性上消化道齣血患者90例，隨機分為治療組和對照組，各45例。對照組給予泮託拉唑40 mg靜滴，治療組在對照組的基礎上加用奧麯肽註射液0.1 mg緩慢靜脈推註，繼之以25μg/h持續靜滴，同時口服雲南白藥1.5 g，3次/日。觀察兩組治療效果。結果：治療組總有效率91.11%，對照組總有效率77.78%，治療組總有效率明顯高于對照組，差異具有統計學意義(P＜0.05)。結論：奧麯肽聯閤雲南白藥治療急性上消化道齣血療效顯著，值得推廣。
목적：탐토오곡태연합운남백약치료급성상소화도출혈적림상료효。방법：2011년4월-2013년12월수치급성상소화도출혈환자90례，수궤분위치료조화대조조，각45례。대조조급여반탁랍서40 mg정적，치료조재대조조적기출상가용오곡태주사액0.1 mg완만정맥추주，계지이25μg/h지속정적，동시구복운남백약1.5 g，3차/일。관찰량조치료효과。결과：치료조총유효솔91.11%，대조조총유효솔77.78%，치료조총유효솔명현고우대조조，차이구유통계학의의(P＜0.05)。결론：오곡태연합운남백약치료급성상소화도출혈료효현저，치득추엄。
Objective:To explore the clinical effect of octreotide combined with Yunnan Baiyao in the treatment of acute upper gastrointestinal bleeding.Methods:90 cases with acute upper gastrointestinal bleeding were selected from April 2011 to December 2013.They were randomly divided into the treatment group and the control group with 45 cases in each.The control group were given static drop of 40 mg pantoprazole.On the basis of the control group,the treatment group were given slow intravenous injection of 0.1 mg octreotide injection,followed by 25 μg/hour continuous infusion,at the same time,oral 1.5 g Yunnan Baiyao,3 times/day.The treatment effects of the two groups were observed.Results:The total effective rate of the treatment group was 91.11%.The total effective rate of the control group was 77.78%.The total effective rate of the treatment group was significantly higher than the control group.The difference was statistically significant(P<0.05).Conclusion:Octreotide combined with Yunnan Baiyao in the treatment of acute upper gastrointestinal bleeding has significant effect.It is worthy of promotion.
