中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
57-58
,共2页
消化内镜%胃十二指肠出血%氩离子凝固术%注射止血%临床价值
消化內鏡%胃十二指腸齣血%氬離子凝固術%註射止血%臨床價值
소화내경%위십이지장출혈%아리자응고술%주사지혈%림상개치
Digestive endoscopy%Gastrodudenal bleeding%Argon plasma coagulation%Injection hemostasis%Clinical value
目的：探索胃十二指肠出血患者应用消化内镜治疗的临床效果与特点，以提高治疗胃十二指肠出血患者的治疗水平，缓解患者的痛苦。方法研究对象是2013年5月-2014年9月期间从该院接收并治疗的胃十二指肠出血患者中随机性抽取的110例，分为对照和研究两组各55例。对照组患者应用注射止血法治疗，研究组患者在此治疗基础上加用氩离子凝固术（APC）治疗，对比两组临床效果和特点。结果研究组患者应用APC治疗后总有效率为93%，对照组患者应用注射止血治疗后的总有效率为82%，显然研究组APC治疗效果优于对照组（P<0.05）；研究组治疗的总并发症发生率为11%明显低于对照组总并发症发生率27%，且对照组再出血率明显高于研究组，两组数据存在较大差异（P<0.05），差异有统计学意义。结论胃十二指肠出血患者应用氩离子凝固术APC治疗效果较好，并发症的发生率较低，可以推广和应用。
目的：探索胃十二指腸齣血患者應用消化內鏡治療的臨床效果與特點，以提高治療胃十二指腸齣血患者的治療水平，緩解患者的痛苦。方法研究對象是2013年5月-2014年9月期間從該院接收併治療的胃十二指腸齣血患者中隨機性抽取的110例，分為對照和研究兩組各55例。對照組患者應用註射止血法治療，研究組患者在此治療基礎上加用氬離子凝固術（APC）治療，對比兩組臨床效果和特點。結果研究組患者應用APC治療後總有效率為93%，對照組患者應用註射止血治療後的總有效率為82%，顯然研究組APC治療效果優于對照組（P<0.05）；研究組治療的總併髮癥髮生率為11%明顯低于對照組總併髮癥髮生率27%，且對照組再齣血率明顯高于研究組，兩組數據存在較大差異（P<0.05），差異有統計學意義。結論胃十二指腸齣血患者應用氬離子凝固術APC治療效果較好，併髮癥的髮生率較低，可以推廣和應用。
목적：탐색위십이지장출혈환자응용소화내경치료적림상효과여특점，이제고치료위십이지장출혈환자적치료수평，완해환자적통고。방법연구대상시2013년5월-2014년9월기간종해원접수병치료적위십이지장출혈환자중수궤성추취적110례，분위대조화연구량조각55례。대조조환자응용주사지혈법치료，연구조환자재차치료기출상가용아리자응고술（APC）치료，대비량조림상효과화특점。결과연구조환자응용APC치료후총유효솔위93%，대조조환자응용주사지혈치료후적총유효솔위82%，현연연구조APC치료효과우우대조조（P<0.05）；연구조치료적총병발증발생솔위11%명현저우대조조총병발증발생솔27%，차대조조재출혈솔명현고우연구조，량조수거존재교대차이（P<0.05），차이유통계학의의。결론위십이지장출혈환자응용아리자응고술APC치료효과교호，병발증적발생솔교저，가이추엄화응용。
Objective To explore the clinical effect and features of digestive endoscopy in the treatment of gastroduodenal bleeding so as to improve therapeutic level and alleviates patient's pain. Methods 110 patients with gastroduodenal bleeding admitted in our hospital between May 2013 and September 2014 were randomly selected as the research object and divided in control group and the study group with 55 in each group. The patients in the control group were treated with injection hemostasis based on which those in the study group were treated with argon plasma coagulation (APC). The clinical effect and features of the two groups were compared. Results The total effective rate of the study group, 93%,was superior to that of the control group, 82%, (P<0.05); the total complication rate of the study group ,11%, was obviously lower than that of the control group, 27%,and the rebleeding rate of the control group was obviously higher than that of the study group, and the differences were statistically significant (P<0.05). Conclusion APC which has good effect and low complication rate can be promoted in the clinical treatment of patients with gas-troduodenal bleeding.
