三黄汤治疗上消化道出血的临床疗效及安全性分析  

Clinical Effect and Safety of Sanhuang Decoction in Treating Upper Gastrointestinal Bleeding

作　　者：董丽华[1] 程岩[1] 李蕴博[1] 李长红[1] DONG Lihua;CHENG Yan;LI Yunbo;LI Changhong(The First Affiliated Hospital of Jiamusi University,Jiamusi,Heilongjiang 154002,China)

机构地区：[1]佳木斯大学附属第一医院,黑龙江佳木斯154002

出　　处：《大医生》2020年第11期111-113,共3页Doctor

摘　　要：目的探讨三黄汤治疗上消化道出血的临床有效性及安全性。方法选取2018年1月至2019年8月佳木斯大学附属第一医院收治的60例上消化道出血患者作为研究对象,按照随机双盲法分为对照组和观察组,每组30例。其中对照组采取西医奥美拉唑药物治疗,观察组采取三黄汤治疗。比较两组患者疗效、止血时间、住院时间、2 d内再出血发生率以及不良反应发生率。结果观察组临床治疗总有效率高于对照组,差异有统计学意义(83.33%vs.60.00%,P<0.05)。观察组患者止血时间、住院时间、2 d内再出血发生率及不良反应发生率均低于对照组,差异均有统计学意义(P<0.05)。结论采取三黄汤治疗上消化道出血,疗效确切,且用药不良反应少,安全性高,具有较高的临床应用价值。Objective To investigate the clinical effect and safety of Sanhuang Decoction in the treatment of upper gastrointestinal bleeding.Methods A total of 60 patients with upper gastrointestinal hemorrhage admitted to the First Affiliated Hospital of Jiamusi University from January 2018 to August 2019 were selected as the study subjects and were randomLy divided into a control group(n=30)and an observation group(n=30).The control group was treated with omeprazole and the observation group was treated with Sanhuang Decoction.The effect,hemostasis time,hospital stay,incidence of rebleeding within 2 days and incidence of adverse reactions were compared between the two groups.Results The total clinical effective rate of the observation group was higher than that of the control group(83.33%vs.60.00%,P<0.05).The hemostasis time,hospitalization time,incidence of rebleeding within 2 days and incidence of adverse reactions in the observation group were lower than those of the control group(all P<0.05).Conclusion Sanhuang Decoction is effective in treating upper gastrointestinal hemorrhage,and it has less adverse drug reactions,high drug safety and high clinical value.

关 键 词：上消化道出血 三黄汤 止血时间 住院时间 

分 类 号：R27[医药卫生—中医学]