急性非静脉曲张性上消化道出血患者应用内镜下金属钛夹与注射止血的效果研究  

Study on the Effect of Hemostasis of Patients with Acute Non-varices Upper Gastrointestinal Bleeding Using Metal Titanium Clips and Injection Under Endoscope

作　　者：李倩君[1] 潘峰[1] 封艳玲 潘振国[1] 许莹[1] LI Qian-jun;PAN Feng;FENG Yan-ling;PAN Zhen-guo;XU Ying(Huai'an First People's Hospital,(Huai'an First Hospital,Nanjing Medical University),Huai'an,Jiangsu Province,223300 China)

机构地区：[1]淮安市第一人民医院(南京医科大学附属淮安第一医院),江苏淮安223300

出　　处：《系统医学》2020年第21期16-18,共3页Systems Medicine

摘　　要：目的分析急性非静脉曲张性上消化道出血患者应用内镜下金属钛夹与注射止血对患者的影响。方法选用2018年1月—2019年12月于该院接受治疗的急性非静脉曲张性上消化道出血患者56例作为研究对象,采用随机数字分配将患者分为两组,对照组于内镜下进行药物注射治疗,观察组于内镜下进行金属钛夹治疗,比较两组患者治疗后治疗有效率与治疗效果。结果观察组患者治疗有效率(89.29%)明显高于对照组(64.29%)(χ2=4.909,P<0.05);两组患者均止血成功,且观察组再出血发生率(3.57%)明显低于对照组(21.43%);观察组患者止血时间(1.27±0.37)d、肠鸣音时间(2.11±0.37)d与住院时间(6.13±1.15)d均短于对照组(4.16±1.01)d、(6.22±1.06)d、(11.27±2.36)d(t=14.217、19.371、10.360,P<0.05)。结论急性非静脉曲张性上消化出血患者治疗中应用药物注射与金属钛夹均可止血成功,但是金属钛夹止血患者出血时间停止更早,且再出血率明显降低,治疗效果较好,可以促进患者恢复。Objective To analyze the effect of endoscopic titanium clip and injection hemostasis on patients with acute non variceal upper gastrointestinal bleeding.Methods 56 patients with acute non-variceal upper gastrointestinal hemorrhage who received treatment in the hospital from January 2018 to December 2019 were selected as the research object.The patients were divided into two groups by random digital distribution,the control group was treated with drug injection under endoscope,the observation group was treated with titanium clip under endoscope,and the effective rate and treatment effect after treatment were compared between the two groups.Results The effective rate of treatment in the observation group(89.29%)was significantly higher than that of the control group(64.29%)(χ2=4.909,P<0.05);both groups of patients successfully stopped bleeding,and the incidence of rebleeding in the observation group(3.57%)was significantly lower The control group(21.43%);the observation group has shorter hemostasis time(1.27±0.37)d,bowel sound time(2.11±0.37)d and hospitalization time(6.13±1.15)d The control group was(4.16±1.01)d,(6.22±1.06)d,(11.27±2.36)d(t=14.217,19.371,10.360,P<0.05).Conclusion In the treatment of patients with acute non-varicose upper digestive hemorrhage,both drug injection and titanium clip can stop bleeding successfully,but the bleeding time of titanium clip hemostatic patients stops earlier,and the rebleeding rate is obviously reduced,the treatment effect is better,it can promote the recovery of patients.

关 键 词：急性非静脉曲张性上消化道出血 内镜 金属钛夹 注射 治疗有效率 

分 类 号：R59[医药卫生—内科学]