内镜下钛夹治疗非静脉曲张性消化道出血的应用及临床效果分析  

Application and Clinical Effect of Endoscopic Titanium Clip in the Treatment of Non-variceal Gastrointestinal Hemorrhage

作　　者：黄学勤 张璋 曹火留 许秋霞 陈新带 HUANG Xueqin;ZHANG Zhang;CAO Huoliu(Yunfu People＇s Hospital,Yunfu 527300,Chin)

机构地区：[1]广东省云浮市人民医院,广东云浮527300

出　　处：《中国医学创新》2018年第16期117-119,共3页Medical Innovation of China

摘　　要：目的:研究内镜下钛夹治疗非静脉曲张性消化道出血的临床效果。方法:收集2016年2月-2017年12月收治的80例非静脉曲张性消化道出血患者,通过抓阄的方式,将其分为对照组与研究组,每组40例。对照组给予注射肾上腺素或电凝治疗,研究组给予内镜下钛夹治疗,观察比较两组患者的临床疗效。结果:研究组即时止血成功率为100%,高于对照组的85%,差异有统计学意义(P<0.05)。研究组再出血率为5%,低于对照组的20%,差异有统计学意义(P<0.05)。研究组的并发症发生率为2.5%,低于对照组的15.0%,差异有统计学意义(P<0.05)。结论:采用内镜下钛夹治疗非静脉曲张性消化道出血,止血效果好,并发症少,值得临床推广应用。Objective：To study the clinical effect of endoscopic titanium clip on the treatment of nonvaricose gastrointestinal hemorrhage.Method：80 non-variceal gastrointestinal hemorrhage patients from February 2016 to December 2017 were collected,by drawing lots,the patients were divided into the control group and the study group,40 cases in each group.The control group was given injection of epinephrine or coagulation therapy,and the study group was given endoscopic titanium clip treatment,the clinical effect of the two groups were observed and compared.Result：The immediate hemostasis rate of study group was 100%,higher than the control group of 85%,the difference was statistically significant（P〈0.05）.The rebleeding rate of study group was 5%,lower than the control group of 20%,the difference was statistically significant（P〈0.05）.The complication rate of the study group was 2.5%,lower than the control group of 15.0%,there was statistical significance（P〈0.05）.Conclusion：Endoscopic titanium clip is used to treat non-varicose gastrointestinal hemorrhage with good hemostatic effect and less complications,so it is worth popularizing in clinic.

关 键 词：内镜下钛夹 消化道出血 

分 类 号：R57[医药卫生—消化系统]