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目的探究在上消化道出血的临床治疗中采用内镜下金属钛夹联合立止血治疗的临床应用效果。方法选取2012年7月~2014年7月在我院消化科治疗的上消化道出血患者90例,按照随机分组原则将其分为对照组和治疗组,对照组患者采取内镜下单纯的金属钛夹进行治疗,治疗组患者则在内镜下金属钛夹治疗的同时联合黏膜注射和喷洒立止血进行治疗,对比两组患者的临床止血效果。结果治疗组患者的第一次止血率和二次止血率与对照组相比差异显著具有统计意义(P<0.05),同时治疗组患者的止血成功率和外科手术率与对照组相比无统计学意义(P>0.05)。结论在上消化道出血的临床治疗中结合内镜下金属钛夹联合立止血治疗其临床应用效果显著,同时并发症比率较少,安全性高,值得在临床上推广应用。
Objective To investigate the clinical effect of endoscopic titanium clip combined with anti-hemostatic therapy in the clinical treatment of upper gastrointestinal bleeding. Methods Totally 90 patients with upper gastrointestinal bleeding treated in Department of Gastroenterology from July 2012 to July 2014 were divided into control group and treatment group according to the principle of randomization. Patients in control group were treated with endoscopic simple metal Titanium clip treatment, the treatment group was treated with endoscopic titanium clip treatment combined with mucosal injection and spray stop bleeding, compared with the two groups of patients with clinical bleeding effect. Results The first hemostatic rate and secondary hemostasis rate in the treatment group were significantly different from those in the control group (P <0.05). The hemostatic success rate and surgical rate in the treatment group were not statistically different from those in the control group Significance (P> 0.05). Conclusions In the clinical treatment of upper gastrointestinal bleeding combined with endoscopic titanium clip combined with anti-hemostatic treatment of its clinical application of significant effect, while less complications, high safety, it is worth promoting the clinical application.