消化性溃疡合并出血急诊胃镜下注射治疗的临床效果分析  

Clinical analysis of injection therapy in peptic ulcer bleeding emergency endoscopy

作　　者：倪猛[1] 贺东黎[1] 樊宏伟[1] 

机构地区：[1]南阳市中心医院消化一科,473000

出　　处：《中国实用医药》2013年第23期7-9,共3页China Practical Medicine

摘　　要：目的探讨经胃镜下行肾上腺素联合乙氧硬化醇注射治疗消化性溃疡合并出血患者的临床治疗效果。方法选取于2011年1月至2012年12月因黑便及呕血前来本院就诊的120例患者为研究对象,随机将患者分为观察组及对照组,每组各60例。观察组患者采用胃镜下1/100000肾上腺素联合1%乙氧硬化醇进行注射治疗,对照组患者经胃镜下行凝血酶喷洒治疗,对比分析两组患者的临床治疗效果。结果观察组患者在临床总有效率为95%,对照组患者临床总有效率为76.67%,两组显效率差异有统计学意义(P<0.05);观察组患者再出血发生率、手术率、输血量、平均住院时间均优于对照组患者,差异具有统计学意义(P<0.05)。结论经急诊胃镜行肾上腺素联合乙氧化醇进行治疗溃疡性出血具有操作简单、安全有效的特点,值得在基层医院中应用推广。Objective To investigate the clinical effect by the gastroscope the downlink adrenaline joint ethoxycarbonyl hardening alcohol injection treatment of peptic ulcer bleeding patients. Methods From January 2011 to December 2012, 120 patients came to our hospital because of melena and hematemesis for the study, patients were randomly divided into Observation group and control group, n = 60 cases. The observation group were treated with 1/100000 adrenaline joint 1% ethoxycarhonyl hardening alcohol injection treatment, control group patients gastroscopy downstream thrombin spray drying treatment, comparative analysis of the clin- ical outcomes of the two groups of patients. Results The patients in clinical total effective rate of 95% of pa- tients in the control group total effective rate was 76. 67%, two sets of significant efficiency differences （ P 〈 0. 05） ; observation group patients rebleeding rate, reoperation rate, blood transfusion volume, average length of stay patients than the control group, the difference was statistically significant （P 〈0. 05）. Conclusion The emergency endoscopy line adrenalin joint ethoxylated alcohol treatment ulcerative bleeding has a simple, safe and effective, application and promotion worth in the base hospital.

关 键 词：消化性溃疡 出血 胃镜 注射治疗 

分 类 号：R573.1[医药卫生—消化系统]