吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
20期
4394-4396
,共3页
善宁%肝硬化%上消化道大出血%疗效%预后
善寧%肝硬化%上消化道大齣血%療效%預後
선저%간경화%상소화도대출혈%료효%예후
Sandostatin%Cirrhosis%Massive hemorrhage of upper digestive tract%Curative effect%The prognosis
目的：观察善宁治疗65例肝硬化合并急性上消化道大出血的疗效及预后。方法：收集65例肝硬化合并急性上消化道大出血的患者，分为治疗组与对照组，分别使用善宁和垂体后叶素，收集其治疗前后的临床数据，并随防6个月，分析其治疗有效率、输血量、止血时间、住院时间、出院后再次出血次数、再次住院次数的差异。结果：①治疗组与对照组相比，临床总有效率差异有统计学意义（P＜0.05），输血量、止血时间、住院时间差异有统计学意义（P＜0.01）。②治疗组与对照组相比较，出院后6个月内再次上消化道出血次数、再次入院次数差异有统计学意义（P＜0.05）。结论：善宁可以有效治疗肝硬化合并急性上消化道大出血，减少输血量，缩短止血时间、住院时间，并减少远期上消化道再血及再入院。
目的：觀察善寧治療65例肝硬化閤併急性上消化道大齣血的療效及預後。方法：收集65例肝硬化閤併急性上消化道大齣血的患者，分為治療組與對照組，分彆使用善寧和垂體後葉素，收集其治療前後的臨床數據，併隨防6箇月，分析其治療有效率、輸血量、止血時間、住院時間、齣院後再次齣血次數、再次住院次數的差異。結果：①治療組與對照組相比，臨床總有效率差異有統計學意義（P＜0.05），輸血量、止血時間、住院時間差異有統計學意義（P＜0.01）。②治療組與對照組相比較，齣院後6箇月內再次上消化道齣血次數、再次入院次數差異有統計學意義（P＜0.05）。結論：善寧可以有效治療肝硬化閤併急性上消化道大齣血，減少輸血量，縮短止血時間、住院時間，併減少遠期上消化道再血及再入院。
목적：관찰선저치료65례간경화합병급성상소화도대출혈적료효급예후。방법：수집65례간경화합병급성상소화도대출혈적환자，분위치료조여대조조，분별사용선저화수체후협소，수집기치료전후적림상수거，병수방6개월，분석기치료유효솔、수혈량、지혈시간、주원시간、출원후재차출혈차수、재차주원차수적차이。결과：①치료조여대조조상비，림상총유효솔차이유통계학의의（P＜0.05），수혈량、지혈시간、주원시간차이유통계학의의（P＜0.01）。②치료조여대조조상비교，출원후6개월내재차상소화도출혈차수、재차입원차수차이유통계학의의（P＜0.05）。결론：선저가이유효치료간경화합병급성상소화도대출혈，감소수혈량，축단지혈시간、주원시간，병감소원기상소화도재혈급재입원。
Objective To observe the clinical effect of sandostatin on upper gastrointrstinal hemorrhage with cirrhosis.Methods 65 definite patients patients were randomly divided into two groups.The treatment group were injected sandostatin and the control group were injected pituitrin.Results:①The gross treatment outcome,average of haemostasis time,the volume of blood transfusion of the treatment group are significantly superior to the control group(P<0.05).There were significant differents between treatment group and control group on the average of haemostasis time,the volume of blood transfusion,Hospitalized time of the treatment group(P<0.01).②Follow-up fo six months,the number of Rebleeding and readmission of the treatment group were significantly superior to the control group(P<0.05).Conclusion The treatment of sandostatin on upper gastrointestinal hemorrhage with cirrhosis has a better clinical therapeutic effect,and can shorten the haemostasis time and decreased the volume of blood transfusion,rebleeding time and readmission time.
