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目的 :探讨老年胃溃疡合并胃出血的临床诊治方法及治疗效果。方法 :选取我院2009年3月~2010年3月期间收治的76例老年胃溃疡合并胃出血患者作为研究对象,随机分为观察组和对照组各38例,两组患者经C13、C14尿素呼气试验和胃镜检查,对照组采取常规止血处理办法,观察组在止血处理的基础上给予奥美拉唑,对比两组患者的治疗效果。结果 :观察组患者的治疗有效率明显高于对照组(92.1%>81.6%),不良反应发生率明显低于对照组(5.3%<15.8%),两组对比具有统计学意义(P<0.05)。结论:在老年胃溃疡合并胃出血的临床治疗当中,在止血处理的基础上使用奥美拉唑等治疗药物,能够有效提升治疗效果,降低不良反应发生率,建议在临床上予以推广。
Objective: To investigate the clinical diagnosis and treatment of senile gastric ulcer combined with gastric hemorrhage. Methods: A total of 76 gastric ulcer patients with gastric ulcer admitted to our hospital from March 2009 to March 2010 were randomly divided into observation group (38 cases) and control group (38 cases). Patients in both groups were treated with C13, C14 urea Breath test and gastroscopy, the control group to take conventional hemostatic approach, the observation group was given omeprazole on the basis of hemostasis, the treatment of patients in two groups compared. Results: The effective rate of treatment in observation group was significantly higher than that of control group (92.1%> 81.6%), the incidence of adverse reactions was significantly lower than that of control group (5.3% <15.8%), the two groups had statistical significance (P <0.05 ). Conclusion: In the clinical treatment of gastric ulcer with gastric bleeding in elderly patients, hemostatic treatment based on the use of omeprazole and other drugs can effectively improve the therapeutic effect and reduce the incidence of adverse reactions, it is recommended to be clinically promoted.