CAJ | 학술논문

目的：探讨特利加压素治疗肝硬化合并上消化道出血的临床疗效。方法选取我院2013年6月～2014年6月收治的肝硬化合并上消化道出血患者60例，将其随机分为观察组和对照组各30例，其中对照组患者给予生长抑素、兰索拉唑、白眉蛇毒血凝酶治疗，观察组患者在对照组的基础上加用特利加压素治疗，对比分析两组患者的临床效果和止血效果。结果接受治疗后，对照组患者显效7例，有效15例，无效8效，总有效率73.33%；观察组患者显效21例，有效8例，无效1例，总有效率96.67%，两组对比差异具有统计学意义（P＜0.05）。结论在肝硬化合并上消化道出血的临床诊治中，采用生长抑素、兰索拉唑加用特利加压素的治疗方式，效果显著，能有效抑制患者的出血状况，缩短出血时间，降低再出血率。
목적：탐토특리가압소치료간경화합병상소화도출혈적림상료효。방법선취아원2013년6월～2014년6월수치적간경화합병상소화도출혈환자60례，장기수궤분위관찰조화대조조각30례，기중대조조환자급여생장억소、란색랍서、백미사독혈응매치료，관찰조환자재대조조적기출상가용특리가압소치료，대비분석량조환자적림상효과화지혈효과。결과접수치료후，대조조환자현효7례，유효15례，무효8효，총유효솔73.33%；관찰조환자현효21례，유효8례，무효1례，총유효솔96.67%，량조대비차이구유통계학의의（P＜0.05）。결론재간경화합병상소화도출혈적림상진치중，채용생장억소、란색랍서가용특리가압소적치료방식，효과현저，능유효억제환자적출혈상황，축단출혈시간，강저재출혈솔。
Objective To study the trey vasopressin clinical curative effect for the treatment of hepatocirrhosis with upper gastrointestinal bleeding. Methods60 patients with hepatocirrhosis with upper gastrointestinal hemorrhage were chosen in the hospital from June 2013 to June 2014, it were randomly divided into observation group and control group 30 cases, including the control group patients were given somatostatin, sola, bridled snake venom eyebrow of coagulation treatment, observation group of patients in the control group on the basis of treatment with trey vasopressin, comparison and analysis the clinical effect of two groups of patients and hemostatic effect.Results After treatment, the control group patients 7 cases had marked effect, 15 cases were effective, 8 invalid effect, total effective rate was 73.33%. Observation group of patients 21 cases had marked effect, 8 cases effectively, 1 had no effect, the total effective rate 96.67%, two groups of contrast signiifcant difference, statistically signiifcant (P<0.05). Conclusion In the clinical diagnosis and treatment of upper gastrointestinal bleeding of liver, somatostatin, sora azole plus with trey vasopressin treatment, obvious effect, can effectively restrain condition of patients with hemorrhage, shorten the bleeding time, decrease the rate of bleeding again.