河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
10期
1616-1618
,共3页
胃镜%肾上腺素%钛夹%非静脉曲张性上消化道出血
胃鏡%腎上腺素%鈦夾%非靜脈麯張性上消化道齣血
위경%신상선소%태협%비정맥곡장성상소화도출혈
Gastroscope%Epinephrine%Titanium clip%Nonvaricose upper gastrointestinal hem-orrhage
目的：探究分析胃镜下注射肾上腺素联合钛夹治疗有活动出血的非静脉曲张性上消化道出血临床疗效。方法：选取我院自2008年5至2013年5月收治的有活动出血的非静脉曲张性上消化道出血患者80例作为临床研究对象，作为临床研究对象。将所有患者进行随机分组，每组各40例，试验组患者采用胃镜下注射肾上腺素联合钛夹治疗，对照组患者采用单纯胃镜下注射肾上腺素治疗。记录两组患者治疗后即时止血率、有效止血率及再出血率，比较两组患者不良反应情况。结果：试验组患者治疗后即时止血率、有效止血率（95．0％、90．0％）明显高于对照组（77．5％、55．0％），且其穿孔、发热、感染、周围循环衰竭等不良反应发生率（7．5％、17．5％、10．0％、2．5％）也明显较对照组偏低（27．5％、35．0％、37．5％、20．0％），P＜0．05，具有统计学意义。结论：胃镜下注射肾上腺素联合钛夹治疗有活动出血的非静脉曲张性上消化道出血临床疗效显著，止血效率高，不良反应较少，具临床推广价值和意义。
目的：探究分析胃鏡下註射腎上腺素聯閤鈦夾治療有活動齣血的非靜脈麯張性上消化道齣血臨床療效。方法：選取我院自2008年5至2013年5月收治的有活動齣血的非靜脈麯張性上消化道齣血患者80例作為臨床研究對象，作為臨床研究對象。將所有患者進行隨機分組，每組各40例，試驗組患者採用胃鏡下註射腎上腺素聯閤鈦夾治療，對照組患者採用單純胃鏡下註射腎上腺素治療。記錄兩組患者治療後即時止血率、有效止血率及再齣血率，比較兩組患者不良反應情況。結果：試驗組患者治療後即時止血率、有效止血率（95．0％、90．0％）明顯高于對照組（77．5％、55．0％），且其穿孔、髮熱、感染、週圍循環衰竭等不良反應髮生率（7．5％、17．5％、10．0％、2．5％）也明顯較對照組偏低（27．5％、35．0％、37．5％、20．0％），P＜0．05，具有統計學意義。結論：胃鏡下註射腎上腺素聯閤鈦夾治療有活動齣血的非靜脈麯張性上消化道齣血臨床療效顯著，止血效率高，不良反應較少，具臨床推廣價值和意義。
목적：탐구분석위경하주사신상선소연합태협치료유활동출혈적비정맥곡장성상소화도출혈림상료효。방법：선취아원자2008년5지2013년5월수치적유활동출혈적비정맥곡장성상소화도출혈환자80례작위림상연구대상，작위림상연구대상。장소유환자진행수궤분조，매조각40례，시험조환자채용위경하주사신상선소연합태협치료，대조조환자채용단순위경하주사신상선소치료。기록량조환자치료후즉시지혈솔、유효지혈솔급재출혈솔，비교량조환자불량반응정황。결과：시험조환자치료후즉시지혈솔、유효지혈솔（95．0％、90．0％）명현고우대조조（77．5％、55．0％），차기천공、발열、감염、주위순배쇠갈등불량반응발생솔（7．5％、17．5％、10．0％、2．5％）야명현교대조조편저（27．5％、35．0％、37．5％、20．0％），P＜0．05，구유통계학의의。결론：위경하주사신상선소연합태협치료유활동출혈적비정맥곡장성상소화도출혈림상료효현저，지혈효솔고，불량반응교소，구림상추엄개치화의의。
Objective:To analyze clinical curative effect of combining epinephrine injection under gas-troscope with titanium clip to treat nonvaricose upper gastrointestinal hemorrhage with active bleeding .Meth-od:Chose 80 cases of nonvaricose upper gastrointestinal hemorrhage patients who have had active bleeding and have been treated at our hospital from May 2008 to May 2013 as clinical study objectives .Divided them into experimental group and control group randomly ,each group has 40 cases ,combined epinephrine injection under gastroscope with titanium clip to treat patients in experimental group , while just adopted epinephrine injection under gastroscope to treat patients in control group .Recorded the patients in two groups instant he-mostasis rate,effective hemostasis rate and rehaemorrhagia rate after treatment ,and their happening situation of adverse reaction.Result: The instant hemostasis rate and effective hemostasis rate of patients in experi-mental group were 95.0%and 90.0%,they were obviously higher than control group ( 77.5%and 55.0%) , and happening rate of tresis ,fever,infection and peripheral circulatory failure these adverse reactions in ex-perimental group were 7.5%,17.5%,10.0%and 2.5%respectively,they were obviously lower than those in control group (27.5%,35.0%,37.5%and 20.0%),P<0.05, There's statistics meaning.Conclusion:Com-bined epinephrine injection under gastroscope with titanium clip has significant clinical curative effect on the treatment of nonvaricose upper gastrointestinal hemorrhage which has active bleeding ,it has high hemostasis rate and fewer adverse reaction .It is worthy of clinical application and promotion .
