CAJ | 학술논문

目的：对食管静脉曲张破裂出血内镜套扎术（endoscopic variceal ligation, EVL）后联合中药预防近期再出血（Esophageal variceal bleeding，EVB）的效果进行分析探讨。方法：将66例EVB患者随机分为对照组和观察组，对照组33例患者行内镜套扎术后联合西药治疗，观察组33例患者行EVL联合中药治疗，对比两组患者的治疗效果。结果：观察组的治疗有效率为93.94%，对照组的治疗有效率72.73%，观察组治疗有效率明显高于对照组（P＜0.05）。观察组的再出血发生率为3.03%，对照组的再出血发生率为15.15%，观察组的再出血发生率显著低于对照组（P＜0.05）。结论：对EVB采用EVL联合中药治疗能够有效降低近期出血率，值得推广。
목적：대식관정맥곡장파렬출혈내경투찰술（endoscopic variceal ligation, EVL）후연합중약예방근기재출혈（Esophageal variceal bleeding，EVB）적효과진행분석탐토。방법：장66례EVB환자수궤분위대조조화관찰조，대조조33례환자행내경투찰술후연합서약치료，관찰조33례환자행EVL연합중약치료，대비량조환자적치료효과。결과：관찰조적치료유효솔위93.94%，대조조적치료유효솔72.73%，관찰조치료유효솔명현고우대조조（P＜0.05）。관찰조적재출혈발생솔위3.03%，대조조적재출혈발생솔위15.15%，관찰조적재출혈발생솔현저저우대조조（P＜0.05）。결론：대EVB채용EVL연합중약치료능구유효강저근기출혈솔，치득추엄。
Objective: To study the clinical effect of endoscopic variceal ligation (EVL) and Chinese medicine on treating esophageal variceal bleeding (EVB). Methods: 66 patients with EVB were randomly divided into control group and observation group. 33 cases in control group were treated by EVL and western medicine and 33 cases in observation group were treated by EVL and Chinese medicine. The clinical effects of the two groups were compared. Results: The effective rate of the observation group was 93.94% and that of the control group was 72.73%. The effective rate of the observation group was significantly higher than that of the control group (P<0.05).The rehaemorrhagia rate of the observation group was 3.03% and that of the control group was 15.15% The rehaemorrhagia rate of the observation group was significantly lower than that of the control group (P<0.05).Conclusion:Treating EVB with EVL and Chinese medicine can reduce the rehaemorrhagia rate and it is worthy of clinical application and promotion.