内镜下氩离子凝固术对消化道出血患者止血效果的影响及安全性分析  

Effect and Safety of Endoscopic Argon Ion Coagulation on Hemostasis in Patients with Gastrointestinal Bleeding

作　　者：黄建鑫 张华芬[1] 李明[1] HUANG Jian-xin;ZHANG Hua-fen;LI Ming(Department of Gastroenterology,Zhaoqing First People’s Hospital,Guangdong Zhaoqing 526020)

机构地区：[1]肇庆市第一人民医院消化内科,广东肇庆526020

出　　处：《中国医疗器械信息》2023年第10期63-65,共3页China Medical Device Information

摘　　要：目的:研究内镜下氩离子凝固术(APC)对消化道出血患者止血效果的影响及安全性。方法:选取2018年1月~2021年9月本院收治的56例消化道出血患者,依治疗差异性分为对照组和观察组各28例,对照组使用肾上腺素注射液治疗,观察组在对照组基础上使用内镜下氩离子凝固术治疗,两组均治疗1周。比较两组患者治疗后临床疗效、并发症及Forrest分级情况。结果:观察组患者总有效率高于对照组,并发症总发生率低于对照组,差异具有统计学意义(P<0.05);对照组25例未再次出血,3例再次出血,总有效率为89.29%(25/28),观察组27例未再次出血,1例再次出血,总有效率为96.43%(27/28);两组的止血率无显著差异(P>0.05)。结论:内镜下氩离子凝固术联合肾上腺素对于消化道出血患者的止血效果较好,其并发症发生率较低,可以提高治疗效果。Objective:To study the effect and safety of endoscopic argon ion coagulation(APC)on the hemostasis effect of patients with gastrointestinal bleeding.Methods:56 patients with gastrointestinal bleeding treated in our hospital from January 2018 to September 2021 were divided into control group and observation group according to treatment differences.The control group was treated with adrenaline injection,and the observation group was treated with endoscopic argon ion coagulation on the basis of the control group.Both groups were treated for 1 week.The clinical efficacy,complications and Forrest grade were compared between the two groups.Results:The the total effective rate of the observation group was higher than that of the control group,and the total incidence of complications was lower than that of the control group(P<0.05);In the control group,25 cases did not bleed again,3 cases bled again,and the total effective rate was 89.29%(25/28).In the experimental group,27 cases did not bleed again,and 1 case bled again,and the total effective rate was 96.43%(27/28);There was no significant difference in hemostatic rate between the two groups(P>0.05).Conclusion:Endoscopic argon ion coagulation combined with epinephrine has a good hemostatic effect in patients with gastrointestinal bleeding,the incidence of complications is low,and the therapeutic effect is improved.

关 键 词：消化道出血 肾上腺素 氩离子凝固术 止血效果 

分 类 号：R573.2[医药卫生—消化系统]