CAJ | 학술논문

目的：对急诊胃镜下止血治疗消化道溃疡出血的临床疗效进行分析。方法：选自河南大学淮河医院2012年8月~2013年10月收治的消化道溃疡出血患者84例，随机分为两组，对照组42例行单纯药物治疗，观察组42例行急诊胃镜下止血加药物治疗，对比两组疗效各指标作回顾性分析。结果：两组总有效率比较差异无统计学意义（ P>0.05）；但观察组止血时间、住院时间与大便潜血转阴时间均明显优于对照组，差异具有统计学意义（P<0.05）。结论：急诊胃镜下止血加药物治疗消化道溃疡出血时间短，疗效显著，推荐为消化道溃疡出血时首选疗法。
목적：대급진위경하지혈치료소화도궤양출혈적림상료효진행분석。방법：선자하남대학회하의원2012년8월~2013년10월수치적소화도궤양출혈환자84례，수궤분위량조，대조조42례행단순약물치료，관찰조42례행급진위경하지혈가약물치료，대비량조료효각지표작회고성분석。결과：량조총유효솔비교차이무통계학의의（ P>0.05）；단관찰조지혈시간、주원시간여대편잠혈전음시간균명현우우대조조，차이구유통계학의의（P<0.05）。결론：급진위경하지혈가약물치료소화도궤양출혈시간단，료효현저，추천위소화도궤양출혈시수선요법。
Objective:To analyze the clinical hemostasis efficacy in the treatment of peptic ulcer hemorrhage by e-mergency endoscopic. Methods:84 patients with peptic ulcer hemorrhage in our hospital from August,2012 to Octo-ber,2013 were randomly divided into two groups,which 42 cases in the control group were treated with simple drug treatment while 42 cases in experimental group were undergone emergency endoscopic hemostasis as well as drug treat-ment. Then the index of the clinical efficacy of the two groups was compared each other with a retrospective analysis. Results:As to the total difference efficiency,there was no statistical significance(P>0. 05)in the treatment of two groups of patients. The experimental hemostasis time,hospitalization time and stool occult blood negative time were sig-nificantly shorter than the control group,so there was the statistically significant difference(P<0. 05). Conclusion:The clinical treatment effect of emergency endoscopic hemostasis in patients with peptic ulcer hemorrhage is remarkable. It proves that the bleeding can be effectively controlled and the disease cured time is short as the best choice in peptic ulcer hemorrhage of emergency endoscopic hemostasis treatment.