中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2014年
20期
105-107
,共3页
饮酒后上消化道出血%注射用泮托拉唑%去甲肾上腺素%注射用白眉蛇毒凝血酶
飲酒後上消化道齣血%註射用泮託拉唑%去甲腎上腺素%註射用白眉蛇毒凝血酶
음주후상소화도출혈%주사용반탁랍서%거갑신상선소%주사용백미사독응혈매
Upper gastrointestinal bleeding after drinking%Injection with diazepam tora%norepinephrine%Vial bridled snake venom thrombin
目的：探讨联合注射用泮托拉唑、去甲肾上腺素及白眉蛇毒凝血酶治疗饮酒后上消化道出血的临床疗效。方法选择临床确诊饮酒后上消化道出血患者64例，将其随机分为对照组和治疗组，每组32例。治疗组32例给予泮托拉唑、去甲肾上腺素、白眉蛇毒凝血酶联合使用；对照组32例给予注射用泮托拉唑、氨甲苯酸联合使用。两组保护胃粘膜及补液等治疗方案相同，比较两组治疗效果。结果治疗组总有效率87.5%，明显优于对照组总有效率62.5%，组间比较差异有统计学意义（P<0.05）；治疗组平均显效时间明显短于对照组，组间差异有统计学意义（P<0.05）；治疗期间，两组出现恶心不良反应症状，经对症处理后症状消失。结论饮酒后上消化道出血患者，采用泮托拉唑、去甲肾上腺素、注射用白眉蛇毒凝血酶联用治疗的疗效确切，而且安全性高、不良反应少，值得临床应用。
目的：探討聯閤註射用泮託拉唑、去甲腎上腺素及白眉蛇毒凝血酶治療飲酒後上消化道齣血的臨床療效。方法選擇臨床確診飲酒後上消化道齣血患者64例，將其隨機分為對照組和治療組，每組32例。治療組32例給予泮託拉唑、去甲腎上腺素、白眉蛇毒凝血酶聯閤使用；對照組32例給予註射用泮託拉唑、氨甲苯痠聯閤使用。兩組保護胃粘膜及補液等治療方案相同，比較兩組治療效果。結果治療組總有效率87.5%，明顯優于對照組總有效率62.5%，組間比較差異有統計學意義（P<0.05）；治療組平均顯效時間明顯短于對照組，組間差異有統計學意義（P<0.05）；治療期間，兩組齣現噁心不良反應癥狀，經對癥處理後癥狀消失。結論飲酒後上消化道齣血患者，採用泮託拉唑、去甲腎上腺素、註射用白眉蛇毒凝血酶聯用治療的療效確切，而且安全性高、不良反應少，值得臨床應用。
목적：탐토연합주사용반탁랍서、거갑신상선소급백미사독응혈매치료음주후상소화도출혈적림상료효。방법선택림상학진음주후상소화도출혈환자64례，장기수궤분위대조조화치료조，매조32례。치료조32례급여반탁랍서、거갑신상선소、백미사독응혈매연합사용；대조조32례급여주사용반탁랍서、안갑분산연합사용。량조보호위점막급보액등치료방안상동，비교량조치료효과。결과치료조총유효솔87.5%，명현우우대조조총유효솔62.5%，조간비교차이유통계학의의（P<0.05）；치료조평균현효시간명현단우대조조，조간차이유통계학의의（P<0.05）；치료기간，량조출현악심불량반응증상，경대증처리후증상소실。결론음주후상소화도출혈환자，채용반탁랍서、거갑신상선소、주사용백미사독응혈매련용치료적료효학절，이차안전성고、불량반응소，치득림상응용。
Objective To explore the combined with diazepam injection tora, norepinephrine and bridled snake venom thrombin clinical curative effect for the treatment of upper gastrointestinal bleeding after drinking. Methods 64 patients with clinical diagnosis of upper gastrointestinal bleeding after drinking, it were randomly divided into control group and treatment group, 32 cases in each group.Treatment group (32 cases for panxi tora, norepinephrine, bridled snake venom thrombin combination;32 cases were treated with diazepam injection tora thiazole,aminomethylbenzoic acid used in combination.Two groups of protecting gastric mucosa and rehydration treatment is the same, compare two groups of therapeutic effect. Results Treatment group total effectiveness 87.5%,obviously better than the control group total effective rate 62.5%,compare the differences between groups was statistical y significant (P<0.05);Treatment group average time significantly shorter than the control group were markedly improved,differences between groups was statistical y significant (P<0.05);During the treatment,two groups of symptoms of nausea and adverse reactions,the symptom disappeared after symptomatic treatment. Conclusion Patients with upper gastrointestinal hemorrhage after drinking,using panxi tora,norepinephrine,vial bridled snake venom thrombin combination treatment curative effect,and high safety,less adverse reactions,worthy of clinical application.
