中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
45-46
,共2页
APC%氩离子凝固术%消化道%肾上腺素
APC%氬離子凝固術%消化道%腎上腺素
APC%아리자응고술%소화도%신상선소
APC%Argon plasma coagulation%Digestive tract%Epinephrine
目的 研究内镜下氩离子凝固术联合去甲肾上腺素喷洒治疗消化道出血的临床疗效. 方法 整群选择该院自2010年1月-2014年10月收治的72例消化道出血患者,随机将其分为观察组和对照组,各组36例,观察组36例,其中男性患者21例,女性患者15例,采用APC联合去甲肾上腺素喷洒治疗,对照组36例,其中男性16例,女性20例,采用内镜下联合应用凝血酶和去甲肾上腺素治疗,比较两组疗效. 结果 在接受治疗后观察组34例患者成功止血,总有效率为91.67%,再出血患者2例, 再出血率为2.7%. 对照组治疗后成功止血21例, 总有效率为41.67%, 再出血患者 8例, 再出血率为16.67%.观察组总治疗效率91.67%明显高于对照组总有效率41.67%,差异无统计学意义(P>0.05),观察组再出血率91.67%低于对照组41.67%,两组比较差异有统计学意义(P<0.05). 结论 观察组在接受治疗后消化道出血有效率高,再出血率低.因此,内镜下压力至凝固术联合去甲肾上腺素喷洒治疗消化道出血值得临床上进行推广和应用.
目的 研究內鏡下氬離子凝固術聯閤去甲腎上腺素噴灑治療消化道齣血的臨床療效. 方法 整群選擇該院自2010年1月-2014年10月收治的72例消化道齣血患者,隨機將其分為觀察組和對照組,各組36例,觀察組36例,其中男性患者21例,女性患者15例,採用APC聯閤去甲腎上腺素噴灑治療,對照組36例,其中男性16例,女性20例,採用內鏡下聯閤應用凝血酶和去甲腎上腺素治療,比較兩組療效. 結果 在接受治療後觀察組34例患者成功止血,總有效率為91.67%,再齣血患者2例, 再齣血率為2.7%. 對照組治療後成功止血21例, 總有效率為41.67%, 再齣血患者 8例, 再齣血率為16.67%.觀察組總治療效率91.67%明顯高于對照組總有效率41.67%,差異無統計學意義(P>0.05),觀察組再齣血率91.67%低于對照組41.67%,兩組比較差異有統計學意義(P<0.05). 結論 觀察組在接受治療後消化道齣血有效率高,再齣血率低.因此,內鏡下壓力至凝固術聯閤去甲腎上腺素噴灑治療消化道齣血值得臨床上進行推廣和應用.
목적 연구내경하아리자응고술연합거갑신상선소분쇄치료소화도출혈적림상료효. 방법 정군선택해원자2010년1월-2014년10월수치적72례소화도출혈환자,수궤장기분위관찰조화대조조,각조36례,관찰조36례,기중남성환자21례,녀성환자15례,채용APC연합거갑신상선소분쇄치료,대조조36례,기중남성16례,녀성20례,채용내경하연합응용응혈매화거갑신상선소치료,비교량조료효. 결과 재접수치료후관찰조34례환자성공지혈,총유효솔위91.67%,재출혈환자2례, 재출혈솔위2.7%. 대조조치료후성공지혈21례, 총유효솔위41.67%, 재출혈환자 8례, 재출혈솔위16.67%.관찰조총치료효솔91.67%명현고우대조조총유효솔41.67%,차이무통계학의의(P>0.05),관찰조재출혈솔91.67%저우대조조41.67%,량조비교차이유통계학의의(P<0.05). 결론 관찰조재접수치료후소화도출혈유효솔고,재출혈솔저.인차,내경하압력지응고술연합거갑신상선소분쇄치료소화도출혈치득림상상진행추엄화응용.
Objective To study the clinical efficacy of endoscopic argon plasma coagulation combined with norepinephrine spray-ing in the treatment of digestive tract hemorrhage. Methods 72 cases with digestive tract hemorrhage admitted in our hospital from January 2010 to October 2014 were randomly divided into the observation group (21 males and 15 females) and the control group (16 males and 20 females) with 36 cases in each. Patients in the observation group were treated by APC combined with nore-pinephrine spraying, and those in the control group were treated by endoscopic argon plasma coagulation combined with nore-pinephrine spraying. And the clinical efficacy was compared between the two groups. Results After treatment, in the observation group, 34 cases successfully stopped bleeding, the total effective rate was 91.67%, in the control group, 21 cases stopped bleeding, the total effective rate was 41.67%. The total effective rate was much higher in the observation group than that in the control group, the difference was not statistically significant (P>0.05). 2 cases in the observation group had rehaemorrhagia, the rate of re-haemorrhagia was 2.7%. 8 cases in the control group had rehaemorrhagia, the rate of rehaemorrhagia was 16.67%. The rate of re-haemorrhagia was much lower in the observation group than that in the control group (91.67% vs 41.67%), the difference was sta-tistically significant (P<0.05). Conclusion The observation group had higher effective rate and lower rate of rehaemorrhagia com-pared with the control group. Therefore, endoscopic argon plasma coagulation combined with norepinephrine spraying for digestive tract hemorrhage is worthy of clinical application and promotion.
