| 邬振国,董 蕾,陈永永,张攸君,黄 咪,周高东.急诊内镜下止血联合生长抑素治疗上消化道出血的疗效分析[J].,2017,17(22):4289-4291 |
| 急诊内镜下止血联合生长抑素治疗上消化道出血的疗效分析 |
| Efficacy of Emergency Endoscopic Hemostasis Combined with Somatostatin in Treatment of Upper Gastrointestinal Hemorrhage |
| 投稿时间：2016-10-22 修订日期：2016-11-17 |
| DOI：10.13241/j.cnki.pmb.2017.22.020 |
| 中文关键词: 急诊内镜 生长抑素 上消化道出血 临床症状 药物喷洒 |
| 英文关键词: Emergency endoscopy Somatostatin Upper gastrointestinal hemorrhage Clinical symptoms Drug spraying |
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| 中文摘要: |
| 摘要 目的：探讨急诊内镜下止血联合生长抑素治疗上消化道出血的疗效。方法：选取了100例上消化道出血患者，按随机数字表法分为两组，对照组(48例) 给予常规止血措施，观察组(52例) 行急诊内镜下止血联合生长抑素治疗上消化道出血，通过观察并记录两组患者疗效、不同病灶大小的治疗成功率及临床症状改善情况，评估急诊内镜下止血联合生长抑素治疗上消化道出血的疗效。结果：观察组患者治疗有效率88.5 %，对照组患者治疗有效率70.8 %，观察组治疗有效率高于对照组(P<0.05)；观察组对不同病变大小止血成功率均高于对照组(P<0.05)；从止血治疗成功率来看，随着病变大小的增加，止血成功率有所下降，观察组患者住院时间，大便潜血转阴，呕血消失时间均短于对照组(P<0.05)，并且术后再出血率也低于对照组患者(P<0.05)。结论：急诊内镜下止血联合生长抑素对上消化道出血具有良好的治疗效果，能明显改善上消化道出血症状，缩短患者住院时间，但对病变范围较大的上消化道出血，治疗效果有限。 |
| 英文摘要: |
| ABSTRACT Objective: To discuss the efficacy of emergency endoscopic hemostasis combined with somatostatin in treatment of upper gastrointestinal hemorrhage. Methods: 100 patients with upper gastrointestinal hemorrhage were selected and divided into two groups randomly. The control group (48 cases) was given conventional hemostatic measures. The observation group (52 cases) was given emergency endoscopic hemostasis combined with somatostatin. The efficacy of emergency endoscopic hemostasis combined with somatostatin in treatment of upper gastrointestinal hemorrhage was evaluated by efficacy, the curative success rate and the improvement situation of clinical symptoms. Results: The effective rate was 88.5 % in the observation group, and the effective rate was 70.8 % in the control group, and the effective rate of observation group was higher than that of the control group (P<0.05). The success rate for different lesion size was higher in the observation group compared with control group (P<0.05). According to the success rate, with the increased size of lesion, the hemostasis rate was decreased. The hospitalization, negative fecal occult and haematemesis disappeared time of observation group was shorter than that of the control group (P<0.05). The postoperative bleeding rate of observation group was lower than that of the control group (P<0.05). Conclusion: The emergency endoscopic hemostasis combined with somatostatin has a good therapeutic effect on upper gastrointestinal hemorrhage. It can improve the clinical symptoms and shorten the hospitalization time, but its effect is limited on large lesion of upper gastrointestinal hemorrhage. |
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