食管静脉曲张破裂出血内镜套扎术后联合中药预防近期再出血的临床探究  

Clinical Study of Effect of Chinese Medicine on Prevention of Rehaemorrhagia after Endoscopic Variceal Ligation for Esophageal Variceal Bleeding

作　　者：梁秋明 

机构地区：[1]钦州市中医医院,广西钦州505000

出　　处：《中医临床研究》2015年第9期55-56,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:对食管静脉曲张破裂出血内镜套扎术(endoscopic variceal ligation,EVL)后联合中药预防近期再出血(Esophageal variceal bleeding,EVB)的效果进行分析探讨。方法:将66例EVB患者随机分为对照组和观察组,对照组33例患者行内镜套扎术后联合西药治疗,观察组33例患者行EVL联合中药治疗,对比两组患者的治疗效果。结果:观察组的治疗有效率为93.94%,对照组的治疗有效率72.73%,观察组治疗有效率明显高于对照组(P<0.05)。观察组的再出血发生率为3.03%,对照组的再出血发生率为15.15%,观察组的再出血发生率显著低于对照组(P<0.05)。结论:对EVB采用EVL联合中药治疗能够有效降低近期出血率,值得推广。Objective： To study the clinical effect of endoscopic variceal ligation （EVL） and Chinese medicine on treating esophageal variceal bleeding （EVB）. Methods： 66 patients with EVB were randomly divided into control group and observation group. 33 cases in control group were treated by EVL and western medicine and 33 cases in observation group were treated by EVL and Chinese medicine. The clinical effects of the two groups were compared. Results： The effective rate of the observation group was 93.94% and that of the control group was 72.73%. The effective rate of the observation group was significantly higher than that of the control group （P〈0.05）.The rehaemorrhagia rate of the observation group was 3.03% and that of the control group was 15.15% The rehaemorrhagia rate of the observation group was significantly lower than that of the control group （P〈0.05）.Conclusion：Treating EVB with EVL and Chinese medicine can reduce the rehaemorrhagia rate and it is worthy of clinical application and promotion.

关 键 词：静脉曲张消化道大出血 内镜套扎术 中药 

分 类 号：R289.6[医药卫生—方剂学]