CAJ | 학술논문

目的：探讨内镜下钛夹治疗非静脉曲张性消化道出血的临床治疗效果。方法选取收治的非静脉曲张性消化道出血患者80例，按数字法随机分为观察组与对照组，每组各40例。对照组给予肾上腺素注射治疗，观察组采取内镜下钛夹止血，比较二组患者止血有效率、再出血率及并发症发生情况。结果观察组即时止血40例，即时止血率100.0%，发生再出血2例，止血有效率为95.0%，与对照组结果相比，差异具有统计学意义(P <0.05)；观察组消化道穿孔、栓塞及心肺意外等并发症发生情况优于对照组，差异具有统计学意义(P <0.05)。结论内镜直视下钛夹止血是治疗非静脉曲张性消化道出血的有效方式，其即时止血率高，并发症少，安全可靠，值得临床使用。
목적：탐토내경하태협치료비정맥곡장성소화도출혈적림상치료효과。방법선취수치적비정맥곡장성소화도출혈환자80례，안수자법수궤분위관찰조여대조조，매조각40례。대조조급여신상선소주사치료，관찰조채취내경하태협지혈，비교이조환자지혈유효솔、재출혈솔급병발증발생정황。결과관찰조즉시지혈40례，즉시지혈솔100.0%，발생재출혈2례，지혈유효솔위95.0%，여대조조결과상비，차이구유통계학의의(P <0.05)；관찰조소화도천공、전새급심폐의외등병발증발생정황우우대조조，차이구유통계학의의(P <0.05)。결론내경직시하태협지혈시치료비정맥곡장성소화도출혈적유효방식，기즉시지혈솔고，병발증소，안전가고，치득림상사용。
Objective To study the clinical efficacy of endoscopic titanium clip in the treatment of acute non-variceal gastrointestinal bleeding.Methods Eighty cases of the patients with gastrointestinal non-vari-cosity hemorrhage were randomly divided into observation group and control group,40 cases in each group. Among them,the control group given epinephrine injection treatment,the observation group received endo-scopic titanium clamp hemostatic.The stop bleeding effectively,further hemorrhage rate and complications of two groups were compared.Results In the observation group,instant hemostasis in 39 cases,instant hemostasis rate was 97.5%,rebleeding occurred in 2 cases,the bleeding effective rate was 92.5%,the difference,compared with control group,was statistical significance (P <0.05).Digestive tract perfora-tion,embolism and cardiopulmonary complications in observation group were better than that in control group,the difference had statistical significance (P <0.05).Conclusion Endoscopic look straight into the titanium clamp hemostatic is an effective way to gastrointestinal non-varicosity hemorrhage with higher in-stant hemostasis rate,fewer complications,safe and reliable.It is worthy of clinical use.