非门脉高压性上消化道出血治疗及疗效观察  

Non--portal hypertensive observation and treatment of upper gastrointestinal bleeding and efficacy

作　　者：姚玲华[1] 

机构地区：[1]贵州省都匀市贵阳医学院第三附属医院,贵州都匀558004

出　　处：《特别健康（下）》2014年第5期18-18,共1页SPECIAL HEALTH

摘　　要：目的：分析非门脉高压性上消化道出血的治疗方法及效果观察。方法：回顾性分析我院2009年1月至2013年12月收治的86例非门脉高压性上消化道出血患者的临床资料，将其分为对照组与观察组，其中观察组46例，对照组40例，其中观察组呆用奥曲肽联合奥美拉唑的治疗方案，对照组仅采用奥美拉唑进行治疗，对比两组的止血时间、输血量及48h后再出血率等指标。结果：对照组止血总有效率81．11％，观察组为92．71％，比较差异具统计学意义（P〈0．05）； 观察组的止血时间、输血量及48h再出血率均低于对照组，差异具统计学问义（P〈0．05）。结论：针对非门脉高压性上消化道出血患者采用奥曲肽联合奥美拉唑的治疗方法疗效确切，具有一定的临床推广价值。Objective： To analyze the treatment of non--portal hypertension and the effects of upper gastrointestinal bleeding was observed. Methods： A retrospective analysis of clinical data from January 2009 to December 2013 were treated 86 cases of non--portal hypertension in patients with upper gastrointestinal bleeding, which was divided into a control group and the observation group, 4G cases in which the observation group, 40 cases in the control group, in which the observation group octreotide omeprazole treatment, the control group using omeprazole treatment, compared two groups of bleeding time, blood transfusion and 48h after the bleeding rate and other in- dicators. Results： The total effective rate of bleeding control group 82. 5% in the observation group was 93.47%, a statistically significant difference （P 〈0.05） bleeding time of the observation group, blood transfusion and 48h rebleeding rates were lower than the control group, the difference with statistically among the righteous （P 〈 0.05）. Conclusion： For the non--portal hypertensive patients with upper gastrointestinal bleeding oetreotide plus omeprazole treatment efficacy, with some clinical value.

关 键 词：非门脉高压性上消化道出血 奥曲肽 奥美拉唑 

分 类 号：R573.2[医药卫生—消化系统]