不同治疗方法对新生儿急性胃黏膜出血的疗效对比观察  

Comparison of Therapeutic Effects of Different Treatments on Neonatal Acute Gastric Mucosal Hemorrhage

作　　者：经乐 

机构地区：[1]南京同仁医院儿科,江苏南京211102

出　　处：《中国继续医学教育》2016年第32期195-197,共3页China Continuing Medical Education

摘　　要：目的探索不同治疗方法对新生儿急性胃黏膜出血的临床效果。方法选取100例急性胃黏膜出血患儿,将患儿动态随机化分为两组,每组各50例患者。对照组和观察组在常规治疗基础上,再分别采用西咪替丁和凝血酶治疗。结果观察组患儿的治疗总有效率96.00%、隐血试验阴性天数(4.98±1.74)天、胃管引流无血性液体天数(1.36±0.48)天、粪便转黄天数(3.18±1.48)天,均优于对照组患儿的治疗总有效率60.00%、隐血试验阴性天数(7.14±1.42)天、胃管引流无血性液体天数(2.47±1.45)天、粪便转黄天数(5.97±2.47)天(P<0.05)。结论在常规治疗基础上,实施凝血酶可改善急性胃黏膜出血患儿临床症状,促进患儿恢复。Objective To explore the different treatment of neonatal acute gastric mucosal bleeding clinical effect.Methods 100 cases of acute gastric mucosal hemorrhage in children, the dynamic randomization of children divided into two groups, the control group and observation group on the basis of conventional treatment, and then were treated with cimetidine and thrombin, 50 cases in each group.Results The total effective rate was 96% in the observation group, occult blood test negative days （4.98 ± 1.74） days, tube drainage without bloody lfuid days （1.36 ± 0.48） days, the number of days （3.18 ± 1.48） days. The total effective rate of the treatment group was better than that of the control group 60%, occult blood test negative days （7.14 ± 1.42） days, tube drainage without bloody fluid days （2.47 ± 1.45） days, yellow days （5.97 ± 2.47） days （P 〈 0.05）. Conclusion In the conventional treatment based on the implementation of thrombin can improve the clinical symptoms of acute gastric mucosal hemorrhage in children, and promote the recovery of children.

关 键 词：凝血酶 急性胃黏膜出血 疗效 

分 类 号：R722.12[医药卫生—儿科]