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目的:探讨急诊内镜下止血联合生长抑素治疗上消化道出血的疗效。方法:选取了100例上消化道出血患者,按随机数字表法分为两组,对照组(48例)给予常规止血措施,观察组(52例)行急诊内镜下止血联合生长抑素治疗上消化道出血,通过观察并记录两组患者疗效、不同病灶大小的治疗成功率及临床症状改善情况,评估急诊内镜下止血联合生长抑素治疗上消化道出血的疗效。结果:观察组患者治疗有效率88.5%,对照组患者治疗有效率70.8%,观察组治疗有效率高于对照组(P<0.05);观察组对不同病变大小止血成功率均高于对照组(P<0.05);从止血治疗成功率来看,随着病变大小的增加,止血成功率有所下降,观察组患者住院时间,大便潜血转阴,呕血消失时间均短于对照组(P<0.05),并且术后再出血率也低于对照组患者(P<0.05)。结论:急诊内镜下止血联合生长抑素对上消化道出血具有良好的治疗效果,能明显改善上消化道出血症状,缩短患者住院时间,但对病变范围较大的上消化道出血,治疗效果有限。
Objective: To investigate the efficacy of emergency endoscopic hemostasis combined with somatostatin in the treatment of upper gastrointestinal bleeding. Methods: 100 cases of upper gastrointestinal bleeding were selected and divided into two groups according to random number table. The control group (48 cases) was given conventional hemostasis. The observation group (52 cases) underwent emergency endoscopic hemostasis combined with somatostatin Upper gastrointestinal bleeding, observed and recorded two groups of patients efficacy, the success rate of different lesion size and improvement of clinical symptoms, to assess the efficacy of emergency endoscopic hemostasis combined with somatostatin in the treatment of upper gastrointestinal bleeding. Results: The effective rate of treatment was 88.5% in observation group and 70.8% in control group, and the effective rate of observation group was higher than that of control group (P <0.05). The success rate of hemostasis in observation group was higher than that of control group P <0.05). From the success rate of hemostasis, the success rate of hemostasis decreased with the increase of lesion size. The length of hospital stay, fecal occult blood and vomiting disappeared in observation group were shorter than those in control group (P <0.05) ), And the rate of postoperative rebleeding was also lower than that of the control group (P <0.05). Conclusions: Emergency endoscopic hemostasis combined with somatostatin has a good therapeutic effect on upper gastrointestinal bleeding, can significantly improve the symptoms of upper gastrointestinal bleeding, shorten the hospitalization time, but the lesion of the upper gastrointestinal bleeding, the treatment effect limited.