中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
14期
41-43
,共3页
胃大部切除术%胃十二指肠溃疡大出血%并发症
胃大部切除術%胃十二指腸潰瘍大齣血%併髮癥
위대부절제술%위십이지장궤양대출혈%병발증
Gastrectomy%Stomach ulcer bleeding%Complications
目的：探讨胃大部切除术治疗胃十二指肠溃疡大出血的治疗效果。方法选择2013年1~12月间我院收治的胃十二指肠溃疡大出血患者86例，按照治疗方法分为观察组和对照组，每组43例，观察组行胃大部切除术治疗，对照组采用保守治疗，比较两组患者的治疗效果。结果观察组胃功能恢复时间及住院天数分别为（32.43±2.1）h、（6.8±1.3）d，显著优于对照组的（47.68±4.6）h、（14.7±2.6）d，差异有统计学意义（P<0.05）；观察组并发症发生率6.98%，显著低于对照组27.91%，差异有统计学意义（P<0.05）；观察组治疗总有效率95.35%，显著优于对照组74.42%，差异有统计学意义（P<0.05）；对所有痊愈患者出院后随访24个月，观察组复发率3.85%（1例），显著低于对照组38.46%（5例），差异有统计学意义（P<0.05）。结论胃十二指肠溃疡大出血患者行胃大部切除术治疗疗效显著，复发率低，值得临床推广。
目的：探討胃大部切除術治療胃十二指腸潰瘍大齣血的治療效果。方法選擇2013年1~12月間我院收治的胃十二指腸潰瘍大齣血患者86例，按照治療方法分為觀察組和對照組，每組43例，觀察組行胃大部切除術治療，對照組採用保守治療，比較兩組患者的治療效果。結果觀察組胃功能恢複時間及住院天數分彆為（32.43±2.1）h、（6.8±1.3）d，顯著優于對照組的（47.68±4.6）h、（14.7±2.6）d，差異有統計學意義（P<0.05）；觀察組併髮癥髮生率6.98%，顯著低于對照組27.91%，差異有統計學意義（P<0.05）；觀察組治療總有效率95.35%，顯著優于對照組74.42%，差異有統計學意義（P<0.05）；對所有痊愈患者齣院後隨訪24箇月，觀察組複髮率3.85%（1例），顯著低于對照組38.46%（5例），差異有統計學意義（P<0.05）。結論胃十二指腸潰瘍大齣血患者行胃大部切除術治療療效顯著，複髮率低，值得臨床推廣。
목적：탐토위대부절제술치료위십이지장궤양대출혈적치료효과。방법선택2013년1~12월간아원수치적위십이지장궤양대출혈환자86례，안조치료방법분위관찰조화대조조，매조43례，관찰조행위대부절제술치료，대조조채용보수치료，비교량조환자적치료효과。결과관찰조위공능회복시간급주원천수분별위（32.43±2.1）h、（6.8±1.3）d，현저우우대조조적（47.68±4.6）h、（14.7±2.6）d，차이유통계학의의（P<0.05）；관찰조병발증발생솔6.98%，현저저우대조조27.91%，차이유통계학의의（P<0.05）；관찰조치료총유효솔95.35%，현저우우대조조74.42%，차이유통계학의의（P<0.05）；대소유전유환자출원후수방24개월，관찰조복발솔3.85%（1례），현저저우대조조38.46%（5례），차이유통계학의의（P<0.05）。결론위십이지장궤양대출혈환자행위대부절제술치료료효현저，복발솔저，치득림상추엄。
Objective To explore treatment efficacy of gastrectomy in treatment of bleeding of gastric ulcer. Methods All 86 patients with bleeding of gastric ulcer were selected in our hospital during January to December 2013 and then divided into two groups according to the treatments, the control group and the observation group, 43 patients in each group. The control group received conservative therapy, while the observation group were treated with gastrectomy. The treatment effect was compared between the two groups. Results The gastric function recovery time and hospital stay of the observation group were (32.43±2.1) h, (6.8±1.3) d, which were significantly better than those in control group [(47.68±4.6) h, (14.7±2.6) d], and there was statistically significant difference (P<0.05). The complication rate of observa-tion group was 6.98%, which was significantly lower than 27.91% in the control group (P<0.05). The total effective of observation group was 95.35%, which was significantly better than 74.42% in control group (P<0.05). After 24 months follow-up, the recurrence rate of observation group was 3.85%, which was significantly lower than 38.46%in the control group (P<0.05). Conclusion The use of gastrectomy for bleeding of gastric ulcer has a significant effect, low recurrence rate, which is worthy of promotion in clinical.
