论文部分内容阅读
目的研究胃溃疡出血应用蒙脱石散配合胃镜治疗的效果。方法 100例胃溃疡出血患者,随机分为胃镜组和胃镜+药物组,各50例。胃镜组采用胃镜下电凝止血治疗,胃镜+药物组在胃镜组基础上于胃镜下应用蒙脱石散喷洒创面治疗。观察两组胃溃疡出血止血效果及止血时间、平均输血量、疼痛评分、住院时间,比较4周后溃疡愈合率。结果胃镜+药物组总有效率高于胃镜组,差异有统计学意义(P<0.05)。胃镜+药物组的止血时间、平均输血量、疼痛评分、住院时间均优于胃镜组,差异有统计学意义(P<0.05)。胃镜+药物组4周后溃疡愈合率为80.00%(40/50),高于胃镜组的52.00%(26/50),差异有统计学意义(P<0.05)。结论胃溃疡出血应用蒙脱石散配合胃镜治疗的效果确切,可有效止血,缩短止血时间,减少输血量,减轻患者痛苦,缩短住院时间,促进溃疡愈合,值得推广。
Objective To study the application of montmorillonite combined with endoscopy in the treatment of gastric ulcer bleeding. Methods 100 cases of gastric ulcer bleeding were randomly divided into gastroscopy group and gastroscope + drug group, 50 cases each. Gastroscope group by electrocautery gastroscopy to stop bleeding, gastroscope + drug group in the gastroscopy group based on the application of montmorillonite powder spray therapy. The hemostatic effect, bleeding time, average blood transfusion, pain score and hospital stay of two groups were observed. The healing rate of ulcer after 4 weeks was compared. Results The total effective rate of gastroscope + drug group was higher than gastroscope group, the difference was statistically significant (P <0.05). Gastroscopy + drug group bleeding time, average blood transfusion, pain score, hospital stay were better than gastroscopy group, the difference was statistically significant (P <0.05). Gastroscope + drug group 4 weeks after ulcer healing rate was 80.00% (40/50), higher than 52.00% (26/50) gastroscopy group, the difference was statistically significant (P <0.05). Conclusion The application of montmorillonite powder and gastroscope for the treatment of gastric ulcer bleeding has definite effect, which can effectively stop the bleeding, shorten the time of hemostasis, reduce the amount of blood transfusion, relieve the suffering of patients, shorten the length of hospital stay and promote the healing of ulcer.