医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
33期
59-59
,共1页
胃镜%上消化道出血%去甲肾上腺素%临床疗效
胃鏡%上消化道齣血%去甲腎上腺素%臨床療效
위경%상소화도출혈%거갑신상선소%림상료효
Gastroscope%Upper gastrointestinal bleeding%Norepinephrine%Clinical ef icacy
目的：探讨胃镜下局部注射去甲肾上腺素治疗上消化道出血的临床疗效及安全性。方法2012年2月~2014年1月我科收治的非食道静脉曲张上消化道出血患者62例作为研究对象，采用随机数字表法随机分为试验组30例和对照组32例。试验组给予胃镜下局部注射去甲肾上腺素，对照组给予胃肠减压、止血、抑酸等治疗。分析比较两组患者止血效果有无差别。结果试验组止血成功率为96.9%显著高于对照组80.0%(P<0.05)；试验组呕血次数(0.51±0.33 vs 0.88±0.25)和黑便次数(2.22±1.04 vs 4.66±1.23)显著低于对照组，且差别有统计学意义(p<0.05)。结论胃镜下局部注射去甲肾上腺素治疗上消化道出血的临床疗效确切。
目的：探討胃鏡下跼部註射去甲腎上腺素治療上消化道齣血的臨床療效及安全性。方法2012年2月~2014年1月我科收治的非食道靜脈麯張上消化道齣血患者62例作為研究對象，採用隨機數字錶法隨機分為試驗組30例和對照組32例。試驗組給予胃鏡下跼部註射去甲腎上腺素，對照組給予胃腸減壓、止血、抑痠等治療。分析比較兩組患者止血效果有無差彆。結果試驗組止血成功率為96.9%顯著高于對照組80.0%(P<0.05)；試驗組嘔血次數(0.51±0.33 vs 0.88±0.25)和黑便次數(2.22±1.04 vs 4.66±1.23)顯著低于對照組，且差彆有統計學意義(p<0.05)。結論胃鏡下跼部註射去甲腎上腺素治療上消化道齣血的臨床療效確切。
목적：탐토위경하국부주사거갑신상선소치료상소화도출혈적림상료효급안전성。방법2012년2월~2014년1월아과수치적비식도정맥곡장상소화도출혈환자62례작위연구대상，채용수궤수자표법수궤분위시험조30례화대조조32례。시험조급여위경하국부주사거갑신상선소，대조조급여위장감압、지혈、억산등치료。분석비교량조환자지혈효과유무차별。결과시험조지혈성공솔위96.9%현저고우대조조80.0%(P<0.05)；시험조구혈차수(0.51±0.33 vs 0.88±0.25)화흑편차수(2.22±1.04 vs 4.66±1.23)현저저우대조조，차차별유통계학의의(p<0.05)。결론위경하국부주사거갑신상선소치료상소화도출혈적림상료효학절。
Objective The aim of this study was to evaluate the clinical ef icacy of local injection of norepinephrine under gastroscope in the treatment of upper gastrointestinal bleeding. Methods 62 case with upper gastrointestinal bleeding were included in this study from Feb 2012 to Jan 2014 in our hospital. And the included patients were randomized divided into experiment group with 30 subjects and control group with 32 cases. Patients in the control group were given regular treatment and patients in the control group were given local injection of norepinephrine under gastroscope. The clinical ef icacy and safety between the two groups were recorded and compared. Results The success rate of hemostasis were 96.9% and 80.0% in the experiment and control group respectively, which indicated the experiment group much higher than that of control groups ( <0.05); The Hematemesis time and black stool time were much smal er in experiment group compared with that in control group( <0.05). Conclusion Local injection of norepinephrine under gastroscope had excellent clinical ef icacy in the treatment of pper gastrointestinal bleeding.
