CAJ | 학술논문

目的：探讨内镜下医用胶喷洒止血术治疗消化性溃疡并出血的临床应用价值。方法从近年来我院消化科就诊的消化性溃疡并出血的患者中随机选取37例作观察组(医用胶组)，给予内镜下医用胶喷洒止血治疗；另选取37例作对照组1(注射组)，给予内镜下注射肾上腺素止血治疗；选取37例作对照组2(APC组)，给予内镜下氩离子凝固止血治疗，对比有效止血率。结果用医用胶喷洒止血治疗的有效止血率(94.59%)与注射肾上腺素止血治疗的有效止血率(94.59%)及使用氩离子凝固止血术治疗的有效止血率(97.30%)三者比较无明显差异(P>0.05)，但医用胶喷洒治疗设备要求低，操作更简单、安全。结论内镜下医用胶喷洒止血术疗效确切，操作简单，安全性高。
목적：탐토내경하의용효분쇄지혈술치료소화성궤양병출혈적림상응용개치。방법종근년래아원소화과취진적소화성궤양병출혈적환자중수궤선취37례작관찰조(의용효조)，급여내경하의용효분쇄지혈치료；령선취37례작대조조1(주사조)，급여내경하주사신상선소지혈치료；선취37례작대조조2(APC조)，급여내경하아리자응고지혈치료，대비유효지혈솔。결과용의용효분쇄지혈치료적유효지혈솔(94.59%)여주사신상선소지혈치료적유효지혈솔(94.59%)급사용아리자응고지혈술치료적유효지혈솔(97.30%)삼자비교무명현차이(P>0.05)，단의용효분쇄치료설비요구저，조작경간단、안전。결론내경하의용효분쇄지혈술료효학절，조작간단，안전성고。
Objective To explore the clinical application of endoscopic medical glue spraying in the treatment of peptic ulcer hemorrhage. Method We randomly allocated 37 patients with peptic ulcer hemor-rhage in observation group, giving endoscopic medical glue spraying treatment;37 patients in control group 1, giving endoscopic adrenaline injection treatment; and 37 patients in control group 2,giving endoscopic APC(argon plasma coagulation) treatment. The hemostatic effectiveness of 3 groups was compared. Result Hemostasis rate was 94.59%in both observation group and control group 1, 97.30%in group 2(P>0.05). But, medical glue spraying treatment was lower equipment requirement, simple, and safe. Conclusion Endoscopic medical glue spraying for treatment of patients with peptic ulcer hemorrhage is effective, simple, and safe.