内镜下注射止血与金属钛夹止血治疗急性非静脉曲张性上消化道出血效果分析  

Analysis of the Effect of Hemostasis by Hemostatic Injection under Endoscopy and Metal Titanium Clips in the Treatment of Acute Non-varices Upper Gastrointestinal Bleeding

作　　者：田传红 张丽宏 TIAN Chuanhong;ZHANG Lihong(Department of Gastroenterology,People's Hospital of Chongqing Wansheng Economic Development Zone,Wansheng,Chongqing,400800 China;Department of Internal Medicine,Shapingba District Hospital of Traditional Chinese Medicine,Chongqing,400030 China)

机构地区：[1]重庆市万盛经济开发区人民医院消化内科,重庆400800 [2]重庆市沙坪坝区中医院内一科,重庆400030

出　　处：《系统医学》2021年第11期83-85,共3页Systems Medicine

摘　　要：目的利用内径注射止血和金属钛夹止血方法对急性非静脉曲张性上消化道出血患者进行治疗,研究患者的治疗效果。方法该次研究随机抽取来自于重庆市万盛经济开发区人民区院在2016年1月—2019年1月期间收治的急性非静脉曲张性上消化道出血患者100例作为研究对象,通过随机数表法分为观察组和对照组,各50例。对照组患者通过内镜下注射止血药物进行治疗,观察组患者通过内镜下金属钛夹止血方法进行治疗。对两组患者的大便潜血转阴时间以及呕血消失时间和止血成功率、复发率、止血时间进行比较。结果观察组患者的止血时间为(1.56±0.46)d,对照组患者的止血时间为(3.19±0.87)d,观察组病患止血的时间短于对照组,差异有统计学意义(t=11.712,P<0.05);观察组患者成功止血(100.0%)(50/50),再次出血有2例,概率为(4.0%),对照组39例患者成功止血,概率为(78.0%),再次发生出血的有9例,概率为(18.0%),观察组患者成功止血的概率更高,再一次出现出血情况的概率更低,差异有统计学意义(χ^(2)=12.360、5.005,P<0.05);观察组患者的大便潜血转阴时间以及呕血消失时间比对照组患者更优,两组比较,差异有统计学意义(t=14.816、12.991,P<0.05)。结论利用内镜下注射止血和金属钛夹止血方法对急性非静脉曲张性上消化道出血患者进行治疗,可以有效缩短止血时间,提高成功止血的概率,值得推广。Objective To treat patients with acute non-varices upper gastrointestinal hemorrhage by using internal diameter injection to stop bleeding and metal titanium clips to study the therapeutic effect of patients.Methods In the study,100 patients with acute non-varicose upper gastrointestinal bleeding admitted to the chongqing wansheng economic development zone people's hospital from January 2016 to January 2019 were randomly selected as the research objects,and were divided into observation group and control group by random number table method,with 50 cases in each group.Patients in the control group were treated by endoscopic injection of hemostatic drugs,and patients in the observation group were treated by endoscopic metal titanium clamps.The time for fecal occult blood to turn negative,the time of hematemesis disappearance and the success rate of hemostasis,recurrence rate,and hemostasis of the two groups of patients to compare.Results The hemostasis time of the observation group was(1.56±0.46)d,and that of the control group was(3.19±0.87)d.The hemostasis time of the observation group was shorter than that of the control group,the difference was statistically significant(t=11.712,P<0.05).The observation group had successful hemostasis of 100.0%(50/50),with 2 cases of rebleeding which probability was 4.0%;the 39 patients in the control group had successful hemostasis with a probability of 78.0%,and 9 cases of rebleeding with a probability of 18.0%.The observation group had a higher probability of successful hemostasis and a lower probability of rebleeding.The difference was statistically significant(χ^(2)=12.360,5.005,P<0.05).The time of turning negative of fecal occlusive blood and disappearance of hematemesis in the observation group were better than those in the control group,and the difference between the two groups was statistically significant(t=14.816,12.991,P<0.05).Conclusion The use of endoscopic injection hemostasis and metal titanium clip hemostasis to treat patients with acute non-varices upper gast

关 键 词：内镜治疗 注射止血药物 金属钛夹 急性非静脉曲张性上消化道出血 

分 类 号：R573[医药卫生—消化系统]