CAJ | 학술논문

目的探讨胃镜下诊断结合药物治疗非曲张静脉上消化道大出血的临床疗效.方法将64例非曲张静脉上消化道大出血患者分为胃镜下诊断+内科常规治疗+国产奥曲肽组(简称观察组)以及内科常规治疗+奥美拉唑组(简称对照组),观察两组患者确诊率、治疗结束观察两组疗效及住院时间.结果观察组的确诊率为100.00%,对照组为93.75%,两组患者确诊率比较,差异具统计学意义(P<0.05).经过治疗后,观察组总有效率为87.50%;对照组为76.67%,两组差异具有统计学意义(P<0.05).且观察组患者住院时间平均11.2d,对照组15.3d,两组住院时间比较,具明显差异(P<0.05).结论胃镜下诊断结合药物治疗不仅可提高非静脉曲张上消化道大出血的确诊率,减少住院时间,也有助于提高临床疗效,具有卫生经济学效益.
목적탐토위경하진단결합약물치료비곡장정맥상소화도대출혈적림상료효.방법장64례비곡장정맥상소화도대출혈환자분위위경하진단+내과상규치료+국산오곡태조(간칭관찰조)이급내과상규치료+오미랍서조(간칭대조조),관찰량조환자학진솔、치료결속관찰량조료효급주원시간.결과관찰조적학진솔위100.00%,대조조위93.75%,량조환자학진솔비교,차이구통계학의의(P<0.05).경과치료후,관찰조총유효솔위87.50%;대조조위76.67%,량조차이구유통계학의의(P<0.05).차관찰조환자주원시간평균11.2d,대조조15.3d,량조주원시간비교,구명현차이(P<0.05).결론위경하진단결합약물치료불부가제고비정맥곡장상소화도대출혈적학진솔,감소주원시간,야유조우제고림상료효,구유위생경제학효익.
Objective: Gastroscopic diagnosis combined with drugs in the treatment of non varicose upper gastrointestinal hemorrhage. Methods: 64 cases of non varicose upper gastrointestinal hemorrhage patients were divided into endoscopic diagnosis + Department of internal medicine conventional therapy + homemade octreotide group (referred to as the observation group and conventional therapy +) Department of internal medicine omeprazole group (referred to as the control group), two groups were observed in patients with confirmed diagnosis rate, end of treatment efficacy and duration of hospitalization were observed in the two groups. Results: The observation group diagnosis rate was 100%, 93.75% in the control group, two groups of patients diagnosed rate comparison, the difference has statistical significance (P<0.05). After treatment, the observation group total effectiveness is 87.50%; 76.67% in the control group, the difference between the two groups was significant (P<0.05). The patients in the observation group and the average hospitalization time 11.2d, 15.3d in the control group, two groups of hospitalized time, with significant difference (P<0.05)Conclusion: Gastroscopic diagnosis of combination drug therapy can not only improve the non varicose upper gastrointestinal hemorrhage diagnosis rate, reduce the time of hospitalization, also contribute to improve the clinical efficacy, with health economics.