CAJ | 학술논문

目的：比较数字减影血管造影( DSA)分别联合血管内栓塞和药物灌注治疗急性消化道出血的临床效果。方法选择2011年1月—2013年12月保定市第二中心医院收治的急性消化道出血患者68例，根据介入治疗方法不同将所有患者分为两组，栓塞组(44例)采用DSA技术联合血管内栓塞术治疗，灌注组(24例)采用DSA技术联合药物灌注治疗，比较两组疗效。结果 DSA显示68例中上消化道出血28例、下消化道出血40例。两组治疗后与治疗前比较收缩压、红细胞和血红蛋白差异均有统计学意义(P<0．05)，治疗后两组收缩压、红细胞和血红蛋白差异均有统计学意义(P<0．05)。治疗后24 h内，两组完全止血率比较差异有统计学意义(P<0．05)。术后随访3个月，两组有效率和复发率差异均有统计学意义(P<0．05)。结论 DSA联合血管内栓塞术治疗急性消化道出血的效果优于DSA联合药物灌注治疗。
목적：비교수자감영혈관조영( DSA)분별연합혈관내전새화약물관주치료급성소화도출혈적림상효과。방법선택2011년1월—2013년12월보정시제이중심의원수치적급성소화도출혈환자68례，근거개입치료방법불동장소유환자분위량조，전새조(44례)채용DSA기술연합혈관내전새술치료，관주조(24례)채용DSA기술연합약물관주치료，비교량조료효。결과 DSA현시68례중상소화도출혈28례、하소화도출혈40례。량조치료후여치료전비교수축압、홍세포화혈홍단백차이균유통계학의의(P<0．05)，치료후량조수축압、홍세포화혈홍단백차이균유통계학의의(P<0．05)。치료후24 h내，량조완전지혈솔비교차이유통계학의의(P<0．05)。술후수방3개월，량조유효솔화복발솔차이균유통계학의의(P<0．05)。결론 DSA연합혈관내전새술치료급성소화도출혈적효과우우DSA연합약물관주치료。
Objective To compare the clinical effects of digital subtraction angiography ( DSA) combined with intravascular embolization and intravascular perfusion in treatment of acute massive hemorrhage of gastrointestinal tract. Methods A total of 68 patients with acute massive hemorrhage of gastrointestinal tract admitted during January 2011 and December 2013 were randomly divided into the intravascular embolization group (IE group, n=44) and the intravascular perfusion group (IP group, n=24). IE group was treated with DSA combined with intravascular embolization, while IP group was treated with DSA combined with intravascular perfusion, and the clinical effects of the two groups were com-pared. Results DSA showed that there were 28 patients with upper gastrointestinal bleeding and 40 patients with lower gastrointestinal hemorrhage in the 68 patients. The differences of systolic blood pressure ( SBP) , red blood cell ( RBC) and hemoglobin ( Hb) levels before and after the treatment in the two groups were statistically significant ( P<0. 05 ) . The differences of SBP, RBC and Hb levels after the treatment in the two groups were statistically significant ( P <0. 05). Within 24 h after the treatment the difference in total hemostasis rate of the groups was statistically significant (P<0. 05). With following up for 3 months, the differences in effective rate and recurrence rate in the two groups were statistically significant ( P<0. 05 ) . Conclusion The DSA combined with intravascular embolization has better effect compared with that by DSA combined with intravascular perfusion in treatment of acute massive hemorrhage of gastrointes-tinal tract.