临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1327-1328
,共2页
缺血性结肠炎%病理特征%内镜诊治
缺血性結腸炎%病理特徵%內鏡診治
결혈성결장염%병리특정%내경진치
Ischemic colitis%Pathological feature%Endoscopic diagnosis
目的：探究缺血性结肠炎的临床特点及内镜诊断情况。方法将124例缺血性结肠炎患者随机分为两组各62例。对照组采取常规治疗，观察组给予血塞通注射液治疗。对观察组患者的临床特点、内镜表现特征、早期诊断、发病危险因素、治疗以及预后情况进行总结分析，并比较两组的临床疗效以及腹痛缓解及止血时间。结果观察组主要临床症状为腹痛、便血、腹泻、恶心及呕吐。病变部位累及左半结肠、乙状结肠、结肠脾曲、降结肠等。首次结肠镜检查后确诊率为85.48%。危险因素主要为高血压、冠心病、高脂血症。观察组治疗痊愈率显著高于对照组，患者腹痛缓解时间和止血时间显著短于对照组，差异均具有统计学意义(P＜0.05)。结论缺血性结肠炎主要临床症状为腹痛、便血等，危险因素主要为高血压、冠心病等，临床给予血塞通注射液进行治疗，疗效显著，值得推广应用。
目的：探究缺血性結腸炎的臨床特點及內鏡診斷情況。方法將124例缺血性結腸炎患者隨機分為兩組各62例。對照組採取常規治療，觀察組給予血塞通註射液治療。對觀察組患者的臨床特點、內鏡錶現特徵、早期診斷、髮病危險因素、治療以及預後情況進行總結分析，併比較兩組的臨床療效以及腹痛緩解及止血時間。結果觀察組主要臨床癥狀為腹痛、便血、腹瀉、噁心及嘔吐。病變部位纍及左半結腸、乙狀結腸、結腸脾麯、降結腸等。首次結腸鏡檢查後確診率為85.48%。危險因素主要為高血壓、冠心病、高脂血癥。觀察組治療痊愈率顯著高于對照組，患者腹痛緩解時間和止血時間顯著短于對照組，差異均具有統計學意義(P＜0.05)。結論缺血性結腸炎主要臨床癥狀為腹痛、便血等，危險因素主要為高血壓、冠心病等，臨床給予血塞通註射液進行治療，療效顯著，值得推廣應用。
목적：탐구결혈성결장염적림상특점급내경진단정황。방법장124례결혈성결장염환자수궤분위량조각62례。대조조채취상규치료，관찰조급여혈새통주사액치료。대관찰조환자적림상특점、내경표현특정、조기진단、발병위험인소、치료이급예후정황진행총결분석，병비교량조적림상료효이급복통완해급지혈시간。결과관찰조주요림상증상위복통、편혈、복사、악심급구토。병변부위루급좌반결장、을상결장、결장비곡、강결장등。수차결장경검사후학진솔위85.48%。위험인소주요위고혈압、관심병、고지혈증。관찰조치료전유솔현저고우대조조，환자복통완해시간화지혈시간현저단우대조조，차이균구유통계학의의(P＜0.05)。결론결혈성결장염주요림상증상위복통、편혈등，위험인소주요위고혈압、관심병등，림상급여혈새통주사액진행치료，료효현저，치득추엄응용。
Objective To explore the clinical features and endoscopic diagnosis results of ischemic colitis. Methods 124 cases of patients with ischemic colitis were randomly divided into two groups, with 62 cases in each group. The control group was given conventional therapy, the observation group was given Xuesaitong injection. The clinical features, endoscopic diagnosis results, early diagnosis results, risk factors, treatment and prognosis of patients in observation group were analyzed, the clinical effects, alleviation time of abdominal pain and hemostasis time of two groups were compared. Results The main clinical symptoms of observation group were abdominal pain, hematochezia, diarrhea, nausea and vomiting. Lesions were involved left colon, sigmoid colon, splenic flexure and descending colon, etc. The accurate diagnosis rate after the first colonoscopy was 85.48%. The main risk factors were hypertension, coronary heart disease and hyperlipidaemia. The cure rate of observation group was higher than that of control group, the alleviation time of abdominal pain and hemostasis time of observation group were shorter than those of control group, all the difference was statistical (P<0.05). Conclusions The main clinical symptoms of ischemic colitis are abdominal pain, hematochezia, the main risk factors are hypertension, coronary heart disease. Xuesaitong injection has significant effect in treatment of ischemic colitis, which deserves promotion and application.
