内镜下氩离子凝固术与高频电凝术治疗老年人胃出血的临床效果  

Efficacy of endoscopic argon plasma coagulation and high freguency electric coagulation on elderly patients with stomach bleeding

作　　者：孙妍[1] 卢艳如[1] 

机构地区：[1]郑州大学第一附属医院老年综合科,450052

出　　处：《中国实用医刊》2017年第9期56-58,共3页Chinese Journal of Practical Medicine

摘　　要：目的 比较内镜下氩离子凝固术与高频电凝术治疗老年人胃出血的临床效果.方法 将2013年6月至2015年9月89例胃出血患者随机分为两组,48例给予氩离子电凝术为氩离子组,41例行高频电凝术为高频电组.随访3个月,比较两组治疗效果.结果 治疗后,氩离子组止血率为93.75%（45/48）,高频电组为87.80%（36/41）;氩离子组并发症发生率为 12.50%（6/48）,高频电组为39.02%（16/41）,两组比较差异有统计学意义（P〈0.05）.结论 内镜下氩离子凝固术治疗老年人胃出血安全可行,与高频电凝术相比,其治愈率高,并发症少.Objective To compare the efficacy of endoscopic argon plasma coagulation （APC） and high freguency electric coagulation on elderly patients with stomach bleeding.Methods A total of 89 patients with stomach bleeding from June 2013 to September 2016 were divided into two groups, 48 cases were given APC as argon group, 41 cases were treated by high freguency electric coagulation as high frequency group.The following up lasted 3 months, the efficacy was compared between the two groups.Results After treatment, the hemostatic rate of argon group was 93.75% （45/48）, which of high frequency group was 87.80%（36/41）.The complications rate of argon group was 12.50%（6/48）, which of high frequency group was 39.02%（16/41）, the differences were significant between the two groups（P〈0.05）.Conclusions APC for elderly patients with stomach bleeding is safe and reliable, which compared with high frequency electric coagulation therapy, the cure rate is high, and the complications are few.

关 键 词：内镜 氩离子凝固术 高频电凝术 胃出血 

分 类 号：R573[医药卫生—消化系统]