微米大黄炭胃镜下喷洒治疗消化性溃疡出血的临床观察  

Clinical Observation on Spraying Micron Rhubarb Charcoal Through Gastroscopy for Hemorrhagic Peptic Ulcer

作　　者：时昭红[1] 张书[1] 胡伟[1] 毛德华[1] 吴玉芳[1] 张江春[1] 

机构地区：[1]武汉市第一医院,武汉430022

出　　处：《内科急危重症杂志》2007年第3期134-135,共2页Journal of Critical Care In Internal Medicine

基　　金：湖北省卫生厅科研课题资助项目(No:鄂卫发[2003]89)

摘　　要：目的:观察胃镜下喷洒微米大黄炭治疗消化性溃疡出血的临床疗效。方法:90例消化性溃疡并出血的患者随机分为微米大黄炭组(治疗组)和去甲肾上腺素组(对照组),各45例,胃镜下观察两组患者的平均止血时间和止血成功率以及术后患者黑便、呕血的次数、血红蛋白量。结果:治疗组平均止血时间较对照组明显减少(P<0.01),止血成功率明显升高(P<0.01),达到96%;治疗组治疗后平均黑便、呕血的次数较对照组明显减少(P<0.05);两组患者平均血红蛋白量比较无统计学差异(P>0.05);治疗组止血疗效高于对照组(P<0.01)。结论:胃镜下喷洒微米大黄炭是治疗消化性溃疡出血的一种安全有效的治疗方法。Objective.. To observe the effect on spraying micron rhubarb charcoal through gastroscopy for hemorrhagic peptic ulcer. Methods： Ninety cases with hemorrhagic peptic ulcer were randomly divided into micron rhubarb charcoal group （treatment group） and norepinephrine （control） group, with 45 cases each. The average time and the success rate of hemostasis, and the number of melena, hematemesis, hemoglobin level after spraying were observed in two groups. Results： The average hemostasis time was significantly reduced （P〈0. 01） and have a significantly higher success rate of hemostatic （P〈0. 01） in treatment group than those in control group, reaching an average of 96%. The average number of melena and hematemesis is significantly less than those in control group （P〈0. 05）, and there was no statistically difference in average hemoglobin between two groups （P〉0. 05）. Hemostatic efficacy of the treatment group were higher than that in control group （P〈0. 01）. Conclusion： Endoscopic sprinkling of micron rhubarb charcoal is a safe and effective treatment for patients with peptic ulcer with bleeding.

关 键 词：微米大黄炭 胃镜 消化性溃疡出血 

分 类 号：R573.1[医药卫生—消化系统]