消化内镜下钛夹止血术治疗胃十二指肠出血的效果观察  

Observation on the clinical effect of titanium clip hemostasis under digestive endoscopy in the treatment of gastroduodenal hemorrhage

作　　者：张雄辉 ZHANG Xiong-hui(Xiantao First People’s Hospital,Xiantao 433000,China)

机构地区：[1]仙桃市第一人民医院,433000

出　　处：《中国实用医药》2022年第7期49-51,共3页China Practical Medicine

摘　　要：目的观察消化内镜下钛夹止血术治疗胃十二指肠出血的临床疗效。方法60例胃十二指肠出血患者,按治疗方法不同分为观察组与参照组,每组30例。观察组患者采取消化内镜下钛夹止血术治疗,参照组患者采取消化内镜下注射止血治疗。比较两组患者的临床治疗效果、出血量、输血量、止血时间、视觉模拟评分法(VAS)评分、住院时间及并发症发生情况。结果观察组患者总有效率为93.33%(28/30),高于参照组的73.33%(23/30),差异有统计学意义(P<0.05)。观察组患者的出血量(365.72±41.31)ml、输血量(411.94±43.82)ml少于参照组的(524.63±55.72)、(796.85±74.51)ml,止血时间(1.73±0.14)d、住院时间(5.27±0.73)d短于参照组的(3.16±0.32)、(9.18±0.83)d,VAS评分(1.55±0.23)分低于参照组的(3.84±0.42)分,差异有统计学意义(P<0.05)。观察组患者的并发症发生率为3.33%(1/30),低于参照组的23.33%(7/30),差异有统计学意义(P<0.05)。结论对胃十二指肠出血患者实施消化内镜下钛夹止血术进行治疗效果甚佳,不但能快速止血,缓解疼痛,还可减少并发症的发生,值得在临床上推广。Objective To observe the clinical effect of titanium clip hemostasis under digestive endoscopy in the treatment of gastroduodenal hemorrhage.Methods A total of 60 patients with gastroduodenal hemorrhage were divided into observation group and reference group according to different treatment methods,with 30 cases in each group.Patients in the observation group were treated with titanium clip hemostasis under digestive endoscope,and patients in the control group were treated by injection hemostasis under digestive endoscope.The clinical treatment effect,blood loss,blood transfusion volume,hemostasis time,visual analogue scale(VAS)score,hospitalization time and complications were compared between the two groups.Results The total effective rate in the observation group was 93.33%(28/30),which was higher than 73.33%(23/30)in the reference group,and the difference was statistically significant(P<0.05).In the observation group,the blood loss(365.72±41.31)ml and blood transfusion volume(411.94±43.82)ml were less than(524.63±55.72)and(796.85±74.51)ml of the control group;themostatic time(1.73±0.14)d and hospitalization time(5.27±0.73)d were shorter than(3.16±0.32)and(9.18±0.83)d of the control group;the VAS score(1.55±0.23)points was lower than(3.84±0.42)points of the control group;all the differences were statistically significant(P<0.05).The complication rate in the observation group was 3.33%(1/30),which was lower than 23.33%(7/30)in the reference group,and the difference was statistically significant(P<0.05).Conclusion The treatment of patients with gastroduodenal hemorrhage by titanium clip hemostasis under digestive endoscopy is very effective,which can not only stop bleeding quickly and relieve the pain,but also reduce the occurrence of complications,which is worth promoting in clinical practice.

关 键 词：胃十二指肠出血 消化内镜 钛夹止血 注射止血 

分 类 号：R656.6[医药卫生—外科学]