中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
23期
72-73
,共2页
内镜%注射治疗%消化道溃疡出血
內鏡%註射治療%消化道潰瘍齣血
내경%주사치료%소화도궤양출혈
Endoscopy%Injection%Peptic ulcer bleeding
目的:探讨不同内镜下注射不同药物治疗消化道溃疡出血的疗效。方法收集2013年2月~2015年3月我院消化科收治的急诊行胃镜下止血的消化道溃疡出血的患者132例,根据注射药物的不同分为三组,肾上腺素组(46例)、去氨加压素组(42例)和硬化剂组(44例),内镜下止血后比较三组的首次止血成功率、再出血率、外科手术率、止血时间、住院天数。结果三组间首次止血成功率、外科手术率、住院天数间的差异无显著性(P>0.05);硬化剂组的再出血率为11.4%,止血时间为(10.1±0.3)h,均优于去氨加压素组和肾上腺组,差异具有统计学意义(P <0.05)。结论内镜下进行药物注射止血疗效确切,能够有效控制出血减少外科手术率,其中以注射硬化剂疗效最为显著。
目的:探討不同內鏡下註射不同藥物治療消化道潰瘍齣血的療效。方法收集2013年2月~2015年3月我院消化科收治的急診行胃鏡下止血的消化道潰瘍齣血的患者132例,根據註射藥物的不同分為三組,腎上腺素組(46例)、去氨加壓素組(42例)和硬化劑組(44例),內鏡下止血後比較三組的首次止血成功率、再齣血率、外科手術率、止血時間、住院天數。結果三組間首次止血成功率、外科手術率、住院天數間的差異無顯著性(P>0.05);硬化劑組的再齣血率為11.4%,止血時間為(10.1±0.3)h,均優于去氨加壓素組和腎上腺組,差異具有統計學意義(P <0.05)。結論內鏡下進行藥物註射止血療效確切,能夠有效控製齣血減少外科手術率,其中以註射硬化劑療效最為顯著。
목적:탐토불동내경하주사불동약물치료소화도궤양출혈적료효。방법수집2013년2월~2015년3월아원소화과수치적급진행위경하지혈적소화도궤양출혈적환자132례,근거주사약물적불동분위삼조,신상선소조(46례)、거안가압소조(42례)화경화제조(44례),내경하지혈후비교삼조적수차지혈성공솔、재출혈솔、외과수술솔、지혈시간、주원천수。결과삼조간수차지혈성공솔、외과수술솔、주원천수간적차이무현저성(P>0.05);경화제조적재출혈솔위11.4%,지혈시간위(10.1±0.3)h,균우우거안가압소조화신상선조,차이구유통계학의의(P <0.05)。결론내경하진행약물주사지혈료효학절,능구유효공제출혈감소외과수술솔,기중이주사경화제료효최위현저。
ObjectiveTo investigate the endoscopic injection of different medications peptic ulcer hemorrhage.MethodsOf patients from February 2013 to March 2015 at our hospital gastroenterology bleeding admitted to the emergency line gastroscopy ulcer bleeding 132 cases, depending on the injection of drugs into three groups, epinephrine group (46 cases), desmopressin group (42 cases) and hardener (44 cases), bleeding after endoscopic hemostasis first three groups of success rate, rebleeding, surgery rates, bleeding time, length of hospital stay.Resultsfor the first time to stop bleeding among the three groups success rate, surgery rates, the difference length of stay between the no significant (P> 0.05); hardener rebleeding rate of 11.4%, bleeding time was (10.1 ± 0.3) , were significantly better than desmopressin group and adrenal group, the difference was statisticaly significant (P < 0.05). Conclusion Endoscopic injection hemostasis exact efficacy of drugs, can effectively control bleeding rate reduction surgery, in which the injection sclerotherapy most significant effect.