胃镜下钛夹治疗与内镜下局部注射治疗消化系溃疡并出血的疗效比较  

Clinical effects of endoscopic clipping in management of peptic ulcer bleeding

作　　者：梁辉 王伟 邹琴 

机构地区：[1]六盘水市水矿控股集团总医院消化内科内镜室,贵州省六盘水市553000

出　　处：《世界华人消化杂志》2014年第26期4017-4020,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨胃镜下钛夹治疗消化性溃疡出血患者的临床疗效.方法:收集86例消化性溃疡出血患者的临床资料,根据治疗方法将患者分为观察组与对照组,每组均为43例.观察组患者给予胃镜下钛夹治疗,对照组患者给予内镜下局部注射的对应治疗,比较两组患者临床疗效及1、3 d止血效果.结果:观察组患者治疗显效率和总有效率均显著高于对照组(62.79%vs 37.21%)、(95.35%vs 76.74%),差异具有统计学意义(P<0.05);观察组患者1、3 d止血率均显著高于对照组(90.70%vs 69.77%)、(100.00%vs74.42%),差异具有统计学意义(P<0.05).结论:胃镜下钛夹治疗消化性溃疡出血,操作简单方便,止血效果良好,确保较高的治愈率,改善患者预后情况,值得临床推广.AIM： To explore the clinical effects of endoscopic clipping in the management of peptic ulcer bleeding. METHODS： Eighty-six patients with peptic ulcer bleeding were divided into either an observa- tion group （n = 43） or a control group （n = 43） based on the treatment method. The observation group was treated by endoscopic clipping, and the control group was treated by endoscopic lo- cal injection. The clinical effects and hemostatic effects on I and 3 d were compared between the two groups. RESULTS： The improvement rate and total effective rate were significantly higher in the observation group than in the control group（62.79% vs 37.21%, 95.35% vs 76.74%, P 〈 0.05）. The hemostatic rates on 1 and 3 d were signifi- cantly higher in the observation group than in the control group （90.70% vs 69.77%, 100.00% vs 74.42%, P 〈 0.05）. CONCLUSION： Endoscopic clipping for peptic ulcer bleeding is simple and easy to use, and is associated with a better hemostatic effect, a high- er cure rate, and improved patient prognosis.

关 键 词：胃镜钛夹 消化性溃疡出血 

分 类 号：R573.1[医药卫生—消化系统]