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目的总结内镜下治疗非静脉曲张性上消化道出血(NVUGIB)的疗效。方法 60岁以上NVUGIB患者98例,随机均分为两组:B组采用内镜下局部注射止血治疗;A组在此基础上加用金属夹止血。比较两组的止血效果和术后感染发生率。结果术后72h之内,A组止血有效率100%(49/49),高于B组的81.6%(40/49)(P<0.05)。A组止血成功率95.9%(47/49),高于B组的77.6%(38/49)(P<0.05)。A组术后感染发生率低于B组(4.1%vs.16.3%)(P<0.05)。结论采用内镜下局部注射联合金属夹止血法治疗NVUGIB的止血效果优于单用局部注射,安全性高。
Objective To summarize the efficacy of endoscopic treatment of non-variceal upper gastrointestinal bleeding (NVUGIB). Methods A total of 98 patients with NVUGIB over the age of 60 were randomly divided into two groups: Group B received local injection of hemostatic endoscopy; Group A was treated with metal clip to stop bleeding. The hemostatic effect and the incidence of postoperative infection were compared between the two groups. Results Within 72 hours after operation, the effective rate of hemostasis in group A was 100% (49/49), which was higher than that in group B (81.6%, 40/49) (P <0.05). The success rate of hemostasis in group A was 95.9% (47/49), which was higher than that in group B (77.6%, 38/49) (P <0.05). The incidence of postoperative infection in group A was lower than that in group B (4.1% vs.16.3%) (P <0.05). Conclusion Endoscopic endoscopic injection combined with metal clip hemostasis is superior to hemostatic effect of NVUGIB in single injection and is safe.