用放射介入下动脉栓塞术治疗动脉源性胃出血及对总止血率影响分析  

Arterial Embolization with Radiation Intervention in the Treatment of Arterial Gastric Bleeding and Its Effect on the Total Hemostatic Rate

作　　者：李日明[1] 刘祥东 吴丽娟 LI Ri-ming;LIU Xiang-dong;WU Li-juan(Department of Internal Medicine,Suixi County People's Hospital,Zhanjiang 524300,Guangdong Province,China)

机构地区：[1]遂溪县人民医院内科,广东湛江524300

出　　处：《罕少疾病杂志》2022年第4期70-72,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析放射介入下动脉栓塞术治疗动脉源性胃出血及对总止血率的影响。方法选取本院2019年5月至2021年1月住院治疗的50例动脉源性胃出血患者,根据“随机数字表法”分组,参照组25例患者采纳内科治疗,观察组25例患者采纳放射介入下动脉栓塞术治疗,比较两组临床疗效、止血时间、输血量、住院时间、并发症发生率、72h内再出血率、WHOQOL-BREF评分。结果观察组临床总有效率(96.00%)高于参照组(68.00%),观察组止血时间、住院时间均短于参照组,观察组输血量低于参照组,差异均存在统计学意义(P<0.05)。观察组并发症发生率(4.00%)、72h内再出血率(0)均低于参照组(28.00%、20.00%),观察组治疗后WHOQOL-BREF评分高于参照组,差异均存在统计学意义(P<0.05)。结论放射介入下动脉栓塞术可有效减少动脉源性胃出血患者输血量,缩短止血时间,减少并发症,降低再出血率,提高生活质量。Objective To analyze the effect of transcatheter arterial embolization(TAE)in the treatment of arterial gastric bleeding(AGH)and the total hemostatic rate.Methods 50 patients with arterial gastrorrhagia in our hospital from May 2019 to January 2021 were selected and divided into two groups according to the"random number table".25 patients in the reference group were treated by internal medicine,and 25 patients in the observation group were treated by arterial embolization under radiation intervention.The clinical efficacy,hemostatic time,blood transfusion volume,hospitalization time,complication rate and rebleeding rate within 72 hours were compared between the two groups WHOQOL-BREF score.Results the total effective rate of the observation group(96.00%)was higher than that of the reference group(68.00%),the hemostasis time and hospitalization time of the observation group were shorter than those of the reference group,the blood transfusion of the observation group was lower than that of the reference group,the differences were statistically significant(P<0.05).The complication rate(4.00%)and rebleeding rate within 72 hours(0)of the observation group were lower than those of the reference group(28.00%and 20.00%),and the WHOQOL-BREF score of the observation group was higher than that of the reference group after treatment,and the differences were statistically significant(P<0.05).Conclusion Transcatheter arterial embolization can effectively reduce the amount of blood transfusion,shorten the hemostasis time,reduce complications,reduce the rate of rebleeding and improve the quality of life of patients with arterial gastric bleeding.

关 键 词：放射介入下动脉栓塞术 动脉源性胃出血 临床疗效 并发症 

分 类 号：R573[医药卫生—消化系统] R692.6[医药卫生—内科学]