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目的探讨内镜下结扎术在治疗食管静脉曲张急性出血中的疗效。方法 100例食管静脉曲张急性破裂出血患者,随机分为两组,每组50例。对照组患者采取内科药物治疗或加用三腔二囊管压迫止血;治疗组采用内镜下结扎术治疗出血。观察两组患者的治疗效果。结果治疗组的总止血率为94.00%,明显高于对照组的60.00%,且治疗组平均住院时间(2.98±0.42)d明显短于对照组的(5.34±0.28)d,治疗组再出血率4.00%低于对照组的56.00%,差异均有统计学意义(P<0.05)。结论内镜下结扎术治疗食管静脉曲张急性出血的疗效确切,急诊止血率高,住院时间短,并发症少,是一种安全、有效的治疗手段,值得推广应用。
Objective To investigate the efficacy of endoscopic ligation in the treatment of acute bleeding of esophageal varices. Methods 100 cases of esophageal variceal bleeding patients were randomly divided into two groups, 50 cases in each group. Patients in the control group were treated with internal medicine or combined with three-chamber two-capsule compression for hemostasis. The treatment group was treated with endoscopic ligation to treat bleeding. Observed the treatment effect of two groups of patients. Results The total hemostasis rate in the treatment group was 94.00%, which was significantly higher than that in the control group (60.00%). The average hospitalization time in the treatment group (2.98 ± 0.42) d was significantly shorter than that in the control group (5.34 ± 0.28) d. 4.00% lower than the control group of 56.00%, the difference was statistically significant (P <0.05). Conclusions Endoscopic ligation is an effective and safe method for the treatment of acute esophageal variceal bleeding. It is a safe and effective method to cure acute esophageal variceal hemorrhage, has shorter hospital stay and less complications. It is worth popularizing and applying.